HomeMy Public PortalAbout10616 FREER ST_Electrical__ 78A663-CE80610-81 APPLICATION FOR ELECTRI AL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDREss
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
I T E M NO. EACH f 7ffi p
OUTLET IRST 20) $20 $ OWNER
LIGHTS RECEP S AIL
OUTLET : (ADD'L UNIT 10fclADDRESS
LIGHTS RECEPT. SW.
LIGHTING FIXTURES: (FIRST 20) .20 O CITY TEL. NO.
LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRIC,IAAN.
RANGES LO.DRYERS WTR.HTRS. 1.00 O ADDRESS (/ 0
GARB.DISP., STA.COOK
CITY .4-APTEL. r
DISHWASH. AUTO.-WASH. STAT LLge
SPACE HTRS. STA.APP.(y¢H.P.MAX. .50
G/ LICENSE NO. V O
MOTORS: OVER NOTOVER H.P. DISTRICT G P Z NE P E
O t' 7.00
I 3 1.50 INSP CTION RECORD r
a
3 S 2.00 O
U
a is 2.5o -
15 SO 3.00 W
50 100 5.00
d
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0.600V-NOT OVER 200A 1.00 a -
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 I AM PROPERLY REGISTERED AND/OR '�� lir,
BY
LICENSED AS REQUIRED LOS ANGELES COUNTY AND STATE OF FIXTURES !'
CALIFORNIA OR THAT 1 AM T E LEG OW R OF THE ABOVE " I /
DESCRIBED RESIDENTIAL ROP Y. POWER ✓ p�
SIGNATURE Y� UTILITY CO.NOTIFIED /�� - Y'j,/ {✓�
OF PERMITTEE ®,6• ?_
FINAL 47
LIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
26w MAY112D 13 .3 43 h