HomeMy Public PortalAbout5211 DEGAS AVE_Electrical__ 7BA663-CE806 10.62 APPLICATION [FOR/ELECTRICAL
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS -
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. '
Fl
TOTAL NO. EACH FEE
OUTLETS FIRST 20 0 15.20 3 OWNER
MAIL
A°o'1. q ADDRESS
OVER 20CU .10 O— fz
TOTAL CITY TEL. NO.
FIRST 20 .20' ! APD'L 10 ELECTRICIAN
—t-1 OVER 20
/J
RANGES CLO.PRYERS WTR.HTRS. 1.00 ADDRESS V
sTw,cook CIT TEL. NO. (O
AUTO.-WASH. STATE
SPACE HTRS. STA APP (y H P M8X.) 3 ,$O LICENSE NO.
I
MOTORS: OVER NOT OVER N.P. DIST T'Z0. GROUP NE PR• ESSED BY
0 -- 1 1.00
+ a . 1.50 INSPECTION RECORD
r
d
3 a 2.00 O
s 1s 2.50 V
ae
15 50 3.00 m
50 — 100 5.00
d
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0.600V.NOT OVER 200A 1.00
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
S SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ a
I HEREBY ACKNOWLEOGE THAT 1 HAVE READ THIS APPLICATION APPROVALS GATEINSPECIOR'3 SIGNATURE
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDlOR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES Z
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
OEE UTILITY CO.NOTIFIED �[ / CLF PERMI7T / 1
FINAL
C�
IDATION ARTHUR C. VEIT(j
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
LACO
1444'D IMAY11 2 D 1350