HomeMy Public PortalAbout8842 - 8842 1/2 ELM AVE_Electrical__ 76A663-CE806 3-64 APPUCATM V FOR EEC7MCAL [PERNU
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER •aC-J
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY 4114
.....-.._-. a NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. •j TOTALNO. EACH FEE
F OUTLETS FIRST 20 15.20 $ 1 �� OWNER LC
LIGHT MAIL
�a 1� ADD'L 41 ADDRESS-
SWITCH. !y OVER ZO .10 L�
LIGHTING TOTAL FIRST 20 1 L .20 ` C CITY EL. NO. 4'
FIXTURES f .�� Dv DR 20 1O /� ELECTRICIAN c
RANGES CLO.DRYERS WTR.NTRS. 1.00 n ADDRESS // g
GARB.DISP. STA.COOK ^. CITY A TEL.NO.
DISHWASH. AUTO.-WASH. y STATE
SPACE HTRS. STA.APP.I'/.H.P.MAX.) ,5p LICENSE NO.
1
MOTORS: OVER NOT OVER H.P. DIS�T NO. GROUP ZONE P R'QH=SSED BY
O 1 1.00 S
1 3 j_ 1.50 INSPECTION R CORD
a
3 a 2.00 O
8 15 2.50 m
18 50 3.00 0
V
50 100 5.00 W
D_
v7
SIGNS: NO.TRANS ,Z
NO.LAMPS
SERVICE 0.60OV-Nor OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE �L
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND,STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT A - 1, .
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LE L WNER OF THE ABOVE
DESCRIBED RESIDE01.14L-PROPERTY t POWER
1.
SIGNATURE 1- UTILITY CO.NOTIFIED
OF PERMITTEE FINAL �' r
LIDATION ARTHUR C. VEIT
1•
MO CASH SUPERVISING ELECTRICAL ENGINEER
LAC; 7: 1 .6 6 u NOV 8 2A 25.80- 1