HomeMy Public PortalAbout10944 FREER ST_Electrical__ 76A663-CES0610-61 APPLICATION FOR ELECTRI AL PERMIT,. 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /O
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. /as`
I T E M NO. EACH I FEE
OUTLETS: FIRST 20) $ $ OWNER
LIGHTS RECEPT! SW. D 20 MAIL
OUTLETS: (ADD'L UNITS) ADDRESS
LIGHTS I RECEPT. SW. io / .10 ,P
LIGHTING FIXTURES: (FIRST 20) .20 / OD CITY TEL.NO.
LIGHTING FIXTURES: (ADDITIONAL) f0 ELECTRICIA
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
-04,1�3 10641-e
ARB. STA.COOK CITY TEL.NO. 4-
DISHWASH. uTo.• STATE '7
SPACE HTRS. STA.APP.(:/y H.P.MAX.) .50 O LICENSE NO. /
MOTORS: OVER NOT OVER H.P. DISTRI T GRT
R P Z N P
O 1 1.00
1 3 1.50 INSP CTION RECORD
J CL
3 O
S 2.00 Y �° ? �.-• O_
r't t c� /' r.l.
8 15 2.50 f! y, ....,.�+►1 V
15 50 3.00 IF f Cr1
50 100 5.00 V
W
CL
SIGNS: NO.TRANS' ,,^
N
_ *i
NO.LAMPS '7►'-
SERVICE 0.600V-Nor OVER 200A 1.00 QCj 7
SERVICE 0-60OV•OVER200A. 2.00 ' r
SERVICE OVER 600V 5.00 J'
MISC.
PERMIT ISSUING FEE 2.00 GO
SUPPLEMENTAFtY PERMIT ISSUING FEE 1.00
TOTAL FEE $
LANA BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
LL COUNTY ORDINANCES AND STATE LAWS REGULATING
CAL WIRING. WIRING
EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURESNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVEED RESIDENTI L PROPERTY. POWER
URE UTILITY CO.NOTIFIEDMITT
FINAL
I ILA
LIDATION RfHUfR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
Lr' ? 9 7 0M17 2 0 1 1 ,5 t1