HomeMy Public PortalAbout5613 ENCINITA AVE_Electrical__ 76A663_CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER SUILOING J !/
BUILDING AND SAFETY DIVISION ti Aopaesa. O6,141i
JOHN A. LAMBIE. COUNTY ENGINEER �O
WILLIAM A.JENSEN, SUPT OF BUILDING 1 LOCALITY (/
•"F} NEAREST
FOR APPLICANT TO•FILL IN CROSS ST.
RECEPT. TOTAL NO, EACH FEE
OUTLETS FIRST 20 S 2O $ OWNER I
LIGHT MAIL
ADD'L ADDRESS (/'/ / "
1 �/F
SWITCH. OVER 20 '10 TEL. Na/
D'
LIGHTING TOTAL FIRST 201 .20 CITU
FIXTURES ADL 1O ELECTRICIAN1-1
Dv R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS ✓ / O
GARB.DISP. STA.COOK
CITY TEL.N
DISHWASH. AUTO.-WASH. STATE
i. SPACE HTRS. OTA.APP.Iyy H.P.MAX.) ,50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT
N GR�%OLP N PROS.E5.4ED BY
0 1 1.00 JJ'(/ -f- /— 7 �/</ �"'�
1 — 3 1.so INSPECTION RECORD
3 8 2.00
8 15 2.50
15 50 3.00 }
6
50 100 5.00Ir O
' SIGNS: NO.TRANS
NO.LAMPS
rOr
SERVICE 0.60OV-NOT OVER 200A
SERVICE 0.60OV-OVER 200 A.
N
SERVICE OVER 600V 5.001 I Z
MISC.
PERMIT ISSUING FEE 2.00 /
SUPPLEMENTARY PERMIT ISSUING FEE 1.001
TOTAL FEE s •� {,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INBPECfOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ri ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOB ANGELES COUNTY AND 6TATE OF FIXTURES
CALI FORM IA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBEDRESIDENTIAL PROPE / I POWER
SIGN
SIGNATUTU RE
• OF PERMITTEE - j UTILITY CO.NOTIFIED
FINAL Ji<
VALIDATION A "I
MO ,CASH SUPERVISING ELECTRICAL ENGINEER
2734� JUN 13 2 D 3.00- d
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