HomeMy Public PortalAbout4823 GLICKMAN AVE_Electrical__ 76A663-CE806 8-62 APPLICATION FOR ELECTRICAL ;ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDREss 1 M
JOHN A. LAMBIE, COUNTY ENGINEER
1-7
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. 3 TOTALNO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER
LIGHT D MAIL
ADD'L ,10 ADDRESS
SWITCH. / 5 OVER 20 3 Q
LIGHTING 1 TOTAL F1R5T 2O J 20 CITY TEL. NO.
FIXTURES I� ADD'L .1O ELECTRICIAN Lr'
OVER 20 - - --
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS L,p v
GARB.DISP. STA.COOK t /!
CITY - ` -TEL.NO. fD
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.('/.H.P.MAX.) ,5O LICENSE NO.
li MOTORS: OVER NOT OVER H.P. DIST CTO. G P Z NE P CESSED BY
O 1 1.00 L) Z-
I
I 3 1.50 INSPECTION RECORD
3 s 2.00
8 15 2.50
15 50 3.00
50 100 5.00
SIGNS: NO.TRANS-
NO.LAMPS 0
O
H
SERVICE 0.60OV-Nor OVER 200A 1.00 O U
w
SERVICE 0-600V-OVER 200 A. 2.00 to
CL
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00 no
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 3
TOTAL FEE $
101100
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INBPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1.,I
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE --
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE D IUTILITY CO.NOTIFIED
OF PERMITTEE -
FINAL
,VALIDATION ARTHUR C. VEIT
(CK MO CASH SUPERVISING ELECTRICAL ENGINEER