HomeMy Public PortalAbout6168 ENCINITA AVE_Electrical__ ;>uaw•cEvve a-av APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES y
DEPARTMENT OF COUNTY ENGINEER BUILDING /!6� I�'hL /b//d5-
BUILDING AND SAFETY DIVISION ADDRESS b
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY C/
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST. r�
OWNER d /ba�
ITEM NUMBER EACH FEE
OUTLET : ♦ 6 $ $ MAIL
M O ADDRESS
LIGHTS RECEPT.13 EW. .1Q
LIGHTING FIXTURES 10 p CITY C ,C TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN S l/t QG Gl/
WATER HEATERS .50 ADDRESS °L 7D 4Ph-� .L
ELEC.SPACE HTRS. DISHWASHERS CITY 46JIV TEL. NO. I►/,1 P
GARBAGE DISPOSERS AUTO.-
STATE
WASHERS STA.COOKING UNITS .2S LICENSE NO. L Af�Y
MOTORS: OVER INC. H.P. DISTRICT NO. I GROUP I PR CESSED BY
O— 1/2
vz— z so INSPECTION RECORD
2 S 1.00
5— 16 1.50
IB— 50 2.50
5o-200 5.00 /1✓/ -
NO.TRANS.
SIGNS: NO.LAMPS p T/r �a�� ��11 TA
SERVICE 0-600V 1.00 p ,77) ;7� .I7719/Z7*Fh,
SERVICE OVER 60OV 8.00
MISC.
WIRING PERMIT 1.00 O
FIXTURE PERMIT 1.00
14 SUPPLEMENTARY PERMIT .5o
TOTAL FEE $ d
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ,APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY //yy J
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT `I M-60 /�-(�/� �
ELECTRICAL WIRING. �R`I/]n 1affiojLf fI/T/!
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING JJ �.�}
LICENSED AE REpUIREO BY LOS ANGELES COUNTY ANO STATE OF FIXTURES
CALIFORNIA OR THAT 1 TH LEGAL OWN OF SHE ABOVE
DESCRIBED RESIOENTIA PR E POWER
SIGNATURE UTILITY CO.NOTIFIED �- p[]p E,yrj,./1,lrSQtfJ
OF PERMITTE { FINAL /f.! li)4wl.tllef't�t1OD
®a VALIDATION ARTHUR C.SU ERVISING EEE
MO CASH ELECTRICAL ENGINEER
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107 2 ? 6 Fo f$Aft 4 2 n 6.3 0 w
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