HomeMy Public PortalAbout5715 ENCINITA AVE_Electrical__ ,- s,ti/„ , ($OVTN FRo N7 UAj)
APPLICATION FOR ELEC4 elCPERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING B '
BUILDING AND SAFETY DIVISION ADDRESS C.
JOHN A. LAMBIE, COUNTY ENGINEER
s
WILLIAM A.JENSEN, SUPTOF DUILDIrvG LOCALITY
FOR APPLICANT TO FILL IN NEAREST /h _
PERMIT FEES CROSS ST. ur i, Lv�c
OWNER
pGTLET$ ITEM NUMBER $EACH sFE
MAIL
JRECET. /� SW. ADDRESS
LIGHTS
LIGHTING FIXTURES 1O Jo CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN RICHARDSON ELECTRIC ('(),I
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY SAN rARRTPT. TEL. NO.
ArP-
GARBAGE OISP05EFt9 �{l.Tnr Y STATE
WASHERS STA.COOKING UNITS .25 �l LICENSE NO. _
MOTORS: OVER INC. H.P. f DISTRICT NO. CARO P I Z NE I PR CESSED BY
0- v2 1 .25 �', O
v2— 2 .50 c INSPECTION RECORD
2- 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
I SIGNS: NO'TRANS.
NO.LAMPS
SERVICE 0-500V 1.00 D
SERVICE OVER SOOV 5.00
MISO.
WIRING PERMIT 1.00 p0
FIXTURE PERMIT 1.00 a
SUPPLEMENTARY PERMIT .50
TOTAL FEE S
1 HEREBY ACKNOWLEDGE THAT 1 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 LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING MYNA Pl.{V//
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT L PROPERTY. POWER
SIGNATURE C UTILITY CO.NOTIFIED
OF PERMITTE _ FINAI
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®. VfiLI SU ERVISING EEL/
No
CASH CTRICAL ENGINEER
CK CASH
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