HomeMy Public PortalAbout6245 ENCINITA AVE_Electrical__ 16A063-CEBOS 10-6I APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ��I eUILDI NG r
BUILDING AND SAFETY DIVISION ADDRESS /T/_�y /t4 / / d:
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN. SVP'T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. G
1 T E M NO. EACH FEE
OUTLETS: (FIRST 20) $ / $ OWNER
LIGNT9 O E-. T! SW. O .ZO 'PO A. MAIL
OUTL S: (ADD'L UNITS) 10 ADDRESS
LIGHTS RECEPT. O SW. t /� OO
LIGHTING FIXTURES: (FIRST 20) O �O(1 CITY TEL. NO.
LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN //1_/
� /� /I
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS Z Q /Y�b T/-1.+ (j /'�
GARB.DISP. STA.COOK
CITY � TEL. NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(Vt H.P.MAX.) .50LICENSE NO:- �/ A
MOTORS: OVER NOT OVER H.P. DIS. - NGROUP ZONE PP CE�
O 1 1.00
1 3 Iso INSPECTION RECORD
q ) r
3 B 2.00 ,./r.(���L/�:'.y,.,`� /..-Y��Jt.. 6:1 O
B 15 2.50 �( lam%"�/✓ - U
15 50 3.00
50 100 5.00 1
a
SIGNS: NO.TRANS. INT
NO. LAMPS L
SERVICE O.6OOV.NOT OVER 200A 1.00 pQ
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 ;k, V
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE S ��
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 ' CONDUIT ,( - / ti/ A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 1 J/ � /
ELECTRICAL WIRING. WIRING i\ _�+ // 1,44J
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURESCALIFORNI
DESCRIBEOAR 6RIOTHATENTIPR EHE EGAL OWNS .O HE ABOVE POWER /w
SIGNATURE UTILITY
OF PERMITTEE
A (DATION ARTHURFC. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
� i*0246 "� KR30 2D 8 .00