HomeMy Public PortalAbout5010 FARAGO AVE_Electrical__ �e.ib"5� c eJQ>o ea 7E!iV&1Ll f�aE CR u 11
APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING J
BUILDING AND SAFETY DIVISION ADDRESS J
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY 7I
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES cRoss sT
ITEM NUMBER EACH FEE OWNER
It
OUTLET $ $ MAIL
ADDRESS U
LIGHTS RECEPT SW 1O /
LIGHTING FIXTURES L CITY TEL NO
f0
ELEC RANGES CLO DRYERS ELECTRICIAN
WATER HEATERS 50 ADDRESS
ELEC SPACE HTRS DISHWASHERS CITY TEL NO
GARBAGE DISPOSERS AUTO STATE
WASHERS STA COOKING UNITS 25 LICENSE NO
MOTORS OVER INC HP DISTRICT NO (GRYOUP*RE
CESSED�Y
O— 1/2 25 r
1/2— 2 50 INSPECTIOORD
2— 5 100
5— 15 ISO
is— 50 250
50—200 500
SIGNS NO TRANS
NO LAMPS
SERVICE 0-600V 100
SERVICE OVER 600V Soo
MISC
WIRING PERMIT 100
FIXTURE PERMIT too
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 WIRING �. ®l�yH F71 {•s7vLYt �a.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ♦ �
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM T14A LEGAL OWNER O THE ABOVE
DESCRIBED RESIDENTIAL P POWER
SIGNATUREkd
UTILITY CO NOTIFIED /_
—OF PERMITTEE FINA i/&l- F I�
®a T�QARTHUR C V�IT
CK MO
CK Mo casesH SUPERVISING ELECTRICAL ENGINEER
Xo 1 4 4 41 riIA 7 2 D 3 .7 0