HomeMy Public PortalAbout5701 ENCINITA AVE_Electrical__ "a°"°°' APPLICATION FOR ELECTRI PERMIT
COUNTY OF LOS ANGELES - - -- -
DEPARTMENT OF COUNTY ENGINEER euaDING '1
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. E, COUNTY ENGINEER
A.JEN
WILLIAM A.JENSEN,Su psi DF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
ITEM NUMBER EACH EEE OWNER
OUTLET/$ $ 5 MAIL
LIGHTS/� RECEPT./ S Y. / ,10 y ADDRESS
LIGHTING FIXTURES" 10 j 149 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN IN
WATER HEATERS .5D ADDRESS R923 F.- BROADWAY TNC.
+ ELEC.SPACE HTRS. DISHWASHERS
CITY r/ TEL. NO.
(('' STATE 178987
�- WASHER STA.COOKING UNITS .25
aO LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT NGROUP '
o— y ! ./ 'y .z5 'IceC_ PROCE D Y -
'/z— 2 .50 `1 INSP-ECLTION RECORD
2— 5 F2500
eJsJS JC1(J Ca•�cis c9-m
5— 15
G t�-s• - 034�2�JL
15— 50 �
50-200
SIGNS: NO.TRANS. ^ > / /�� '1,.^ �J /�/n'}J ^/�
1 NO.LAMPS ,[' '.2 L'U CI(JW {G6 /I/ IAI(-,.-
SERVICE O-600V Qo ✓ 14T Gl A/?.0 N.En
SERVICE OVER 600V 5.00
MISC.
WIRINGPERMIT 1.00 (.T
FIXTURE PERMIT 1.00 U h
SUPPLEMENTARY PERMIT .50
' TOTAL FEE 5 o b
r
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,
WITH ALL COUNTY ORDINANCES AND STATE LBWS REGULATING CONDUIT q
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ATE OR CALIFORLICENSNIA
AS RTHAT
BY LOSLEGAANGELES COUNTY F E AB OF FIXTURES
CALIFORNIA ES THAT REQUIRED, AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT L PROPERTY.�I Q POWER
IS
/ ' v� UTILITYCO.NOTIFIED j#A�^y
OF PERMITTETTT��T��T FINAL OV.�e/�C'ft�J���A •.vim,.
®° DATION
MO CLASH SUPERVISING ELECTRICAL ENGINEER "
CK
L,�' 4 1 5 8 i°AR 0 2 0 9 ; 0 °