HomeMy Public PortalAbout10256 FREER ST_Electrical__ 7GA6e3-CE80610.62 APPLICATION FOR ELECTRIC L PERMIT
COUNTY OF LOS ANGELES �(�j/
DEPARTMENT OF COUNTY ENGINEERL/1 _BUILDING /S J
BUILDING AND SAFETY DIVISION ADDRESS !/
JOHN A. LAMBIE, COUNTY ENGINEER f
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY i• '
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. r�
RECEPT. TOTAL NO. EACH FEE -
OUTLETS FIRST 20 $ 20 $ tAD
ER G .�'
LIGHT p J
ADO'L SS
SWITCH. OVER 20 `� -10
TOTAL TEL. NO
LIGHTING FIRST 20 20 13
FIXTURES :! ADD'L 1O TRICIAN r
OVER 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 SS
GARB.DISP. -STA.COOK /
CITY _4TEL. N
DISHWASH.r• AUTO.-WASH. STATE /
SPACE HTRS. STA.APP.(yi H.P.MAX.) LJ .5O D LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIST�ICT N ., (371:14P ZO PR $ D BY
1
O 1 1,00 � U
+ 3 1.50 INSPECTION R CORD
3 8 2.00
8 15 2.50 8
ad
15 50 3.00 Q
50 100 5.00
d
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V-NOT OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
misc.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ (�
1 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. ' WIRING '
I HEREBY CERTIFY THAT 1 AM PROPER Y REGISTERED AND/OR
LICENSED AS REQUIRED LOS ANGELE COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM T LEGA OW R E ABOVE ,
DESCRIBED RESIDENTIA TY. POWER 1
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE 1'- n `�
FINAL E 01 t (j Qs d!rHLCe. lt,
VALIDATION ARTHUR C. VEIT �(
MO CASH SUPERVISING ELECTRICAL ENGINEER
/// 9824 JW 8 2 0 18.30
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