HomeMy Public PortalAbout5036 ENCINITA AVE_Electrical__ .F
76A663-CEBOO-1,.,, APPLICATION FOR`,. L.E C T R I C PERMIT
1'
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY_ ENGINEER 6 U I L D'
N G
BUILDING AND SAFETY DIVISION ADDREss c�7 Q�C �� ��if/C,
JOHN A. I.AMBIE, County Engineer .
CASSATT D. GREFFIN. Supt o! 'Building LOCALITY iIJ lc% S
NEAREST..,, ,
FOR APPLICANT TO FILL IN-`1 CROSS ST G iW'
PERMT FEES
I T E M _ NUMBER EACH FEE OWNER i,�/ k J G '
OUTLETS 1 $ S MAIL-
LIGHTS RECEPT `- SW 10 G ADDRESS `
LIGHTING FIXTURES 10 CITY TEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN O L..� •� �i
WATER HEATERS 50 ADDRESS 1 1—
ELEC SPACE HTRS DISHWASHERS _
GARBAGE DISPOSERS AUTO- CITY TEL NO A _
WASHERS STA.COOKING UNITS 25 - STATE
LICENSE NO
MOTORS OVER INC H P ISM
Mill R C NO. JGROUP� ZONE
0 — V2 25 READY FOR INSPECTION
P
V/2 — 2 50
z — 5 100
INSPECTION RECORD
,
+ 5 — 15 150 �, - Alo _
15 — SO 2 50
so — 200 Soo -
SIGNS: NO TRANS
NO LAMPS - -
SERVICE 0-600V 100
SERVICE OVER 600V Soo
MISC
WIRING PERMIT `1.00
FIXTURE PERMIT 1 00 -
SUPPLEMENTARY PERMIT' 'S0 _ __ _ _ _ -- - -- - -`-•`" i
b 'TOTAL FEE $ APPROVALS
1 HEREBY-ACKNOWLEDGE THAT 1 HAVE READ THIS-APPLICATION" DATiE INSP FOR'S`S NATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO-COMPLY CONDUIT
WITH ALL COUNTY•ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. - WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED'AND/OR I . 1 , •,i
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM HE LEGAL O ER OF THE ABOVE 'POWER
'
DESCRIBED RESIDENTI P ER ,
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE
FINAL
TION ARTHURc.VEIT, -
CK Mo CASH SUPERVISING ELECTRICAL ENGINEER,
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