HomeMy Public PortalAbout5219 DEGAS AVE_Electrical__ 78A 663-CEBOG 10-62 APPLICATION FOR
CAL�rERMIT �/II11I11'1
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER RUILDING 1
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER 0 Qo—
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY
�. NEAREST
FOR APPLICANT TO FILL IN caos6 sT.
RECEPT. TOTAL NO. EACHFEE
OUTLETS FIRST 20Q $EO $ OWNER
LI6Hr (fp MAIL
swrrce. /� ___�[_ OVER 20 G< .10 D ADDRESS
TOTA CITY TEL. NO.
LIIGHTING FIRST 20 .20 ,
FIXTURES / 1D
ADD'L ELECTRICIAN
OVEP 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.OISP. STA.COOK _f X IJ O/
CITY TEL. NO.U� (� a C/
DISHWASH. AUTO.-WASH. $TATE
SPACE HTRS. bTA.APP.(yy H.P.MAX.) �' .50 D LICENSE NO.
MOTORS: OVER NOTOVER H.P. DISTRICT NO. GROUP NE PR CESSED BY
o + 1.00
1 3 1.50 INSPECTION R CORD
3 s 2400 4 2 // " v CE:.p Go Q. i
�
a +s 2.50 ! UCJ U 5 L/ - f-+i •cQV_
15 50 3.00 v PC
50 100 3.00 =_ "�^n �y� O
NO.TRANS. ITMFfTGi]V WWWV
i
SIGNS: NO.LAMPS LU I I WoUT TE MbW. Y)`••' L, h
U
SERVICE 0.60OV-NOT OVER 20OA 1.00
SERVICE O-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MI50.
z
K
- PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR �1'
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 1 -L
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF TXE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE Q UTILITY CO.NOTIFIED
OF PERMITTEE �•
I FINAL O Gr /It_0
V LIDATION AR HUR C. VEIT'
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
X01445 IMAY11 2 D 13.60,