HomeMy Public PortalAbout10605 FREER ST_Electrical__ 7SA663-CES0610-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /' v �
BUILDING AND SAFETY DIVISION ADDRESS 6
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST �1
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER N
LIGHT 60 MAIL
ADD'L ADDRESS
SWITCH. OVER 20 3 .10on ,
TOTAL CITY TEL. NO.
LIGHTING l` /J FIRST 20 (� .20
FIXTURES I� ADD'L 1O ELECTRICIAN kl?� LL
111 OVER L
RANGES CLO.DRYERS WTR.HTRS. 1.00ADDRESS k L
GARB.DISP. STA.COOK OK CITY
��. /., 4) EL. NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(y■H.P.MAX.) a .50
LICENSE NO. �S
MOTORS: OVER NOT OV DISTRICT NO. GROUP ZONE I PROC SSEDJ BY
O 1 1.00 "� �� C l *+__.v
1 3 - 1.50 INSPECTION RECORD
3 s 2.00 ^^.+ e �C��-�o,S•- Cs oA-2 o a
8 15 2.50 i $` FV - C, r 0
15 50 3.00 DC
er v N C.Z'r.tv rJ O
50 700 5.00
NO.TRANS. p /
SIGNS' NO.LAMPS ��h1 A,tv,
SERVICE 0.60OV-NOT OVER 200A 11.00 (,
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 11.00
TOTAL FEE* $
1HEREBY 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 r'
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES '2
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE A 4
FINAL /' +lij,l CZ„
CLIDATION ARTHUR C. VE-17-7
CKMO CASH SUPERVISING ELECTRICAL ENGINEER
LI,l;O
8 9 1-0 DEC 16 2 D 1 3.6 0