HomeMy Public PortalAbout8635 GARIBALDI AVE_Electrical__ 76A663-CE806 B-62 APPLICATION FOR ELECTRICAL 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.
RECEPT, r TOTAL NO. EACH FEE
OUTLETS FIRST 20 $.20 $ a OWNER
LIGHT MAIL
ADD
`— ADD'L ADDRESS
SWITCH. /5 —ALL OVER 20 ' •10 —._.
F_T/o�
LIGHTING F1RST20 � .2o CITY TEL.NO.
CFIXTURES OVER'2O L 10 ELECTRICIAN /Y\��l fzs �u.(`t. C
VERR —
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY Q /:� 4-10-4(TEL. NO.
DISHWASH. AUTO.-WASH. STATE / ;.�
SPACE HTRS. STA.APP.(+/y H.P.MAX.) ,50 / LICENSE NO. (,/ -
MOTORS: OVER NOT OVER H.P. DISTRICT NO. ILGROUP ZONEPROCESSED BY
O 1 1.00 O C - - J C fL
1 8 1.50 INSPECTION RECORD i
S S 2.00
8 15 2.50
1a 50 8.00 )
a.
50 100 5.00 y O
_ V
SIGNS: NO.TRANS
NO.LAMPS fx
SERVICE 0.600V-NoT OVER 200A ` 1.00
W
SERVICE 0-60OV-OVER 200 A. 2.00 D
N
SERVICE OVER 600V 5.00 Z
MISC.
PERMIT ISSUING FEE 2.00 Q
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 8 "1
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 CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _
ELECTRICAL WIRING. WIRING
1HEREBY CERTIFY THAT 1 AM PROPELY REGISTERED AND/OR _
LICENSED AS REQUIRED BY LOS ANGELESRCOUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE _ _
FINAL
\` U VALIDATION ARTHUR C. VEIT
+- Clk MO CASH SUPERVISING ELECTRICAL ENGINEER
Li.t.0
3 3 3 5:o AP? 1
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