HomeMy Public PortalAbout9518 GIDLEY ST_Electrical__ 76A663-CES06 8-62 APPLICATION FOR ELECTRICAL PERMIT • .�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER VA
UILDING
BUILDING AND SAFETY DIVISION DDRESSJOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SuP'T OF BUILDING OCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. / TOTAL NO. EACH FEE
OUTLETS FIRST 20 r y $.20 $ Q OWNER7-3
C -
LIGHT MAIL
ADD�L ADDRESS
SWITCH. / / OVER 20 .10
TOTAL 2 d CITY TEL.NO.
LIGHTING F1R5T20 �� .20 _
FIXTURES �O ADD'L 10 ELECTRICIAN
OV R 2O
RANGES CLO.DRYERS WTR.HTS. 1.00 ADDRESS �� Q
GARB.DISP. STA.COOK CITY , TEL.NO. -0 16 S'
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(-/a H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRIGROUP ZONE Pt(,:OESSED BY
O t Z 11-00 U Ir
1 s 1.50 INSPECTION RECORD
S 6 2.00
8 15 2.50 -
1s 50 3.00
a
50 100 5.00 0
/1
SIGNS: NO.TRANS {�' /;�` .✓�
NO.LAMPS
SERVICE 0.600V-NoT OVER 200A 1.00 ! �� W
SERVICE 0-600V-OVER 200 A. 2.00 h
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00 2 Op
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
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESID EN ` OPE POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEES 1
FINAL
CIC
oMO CASH LIDATION ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
L;-,L-0'? 2 7 JUL I. G ', G