HomeMy Public PortalAbout4828 GLICKMAN AVE_Electrical__ 76A663•CES06 B-62 APPLICATION FORE CTRICAL ��ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /� L K ��
BUILDING AND SAFETY DIVISION ADDRESS Cc
JOHN A. LAMBIE. COUNTY ENGINEER / 1
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
NEAREST I e e i� /1 L `,S 4 R D
FOR APPLICANT TO FILL IN CROSS ST. F- /�1
2O TOTAL NO. EACH FEE
RECEPT, OUTLETS FIRST 20 'Q $20 $ OQ OWNER . j io 1 C R S C b 1v 5 7-
LIGHT
LIGHT /w MAIL
ADD'L ry DD ADDRESS U �` L., A " D S I 1
SWITCH. // OVER 20 •f0
TOTAL I ) ¢// CITY ��. CGS 4' 1 kJ �1 TEL.NO.
LIGHTING FIR D'L .20 / jOjvv -t
FIXTURES ADD2 .10 ELECTRICIAN _l A AID a 41 C 4 e T 1�IL
OVER 20
) �
RANGES CLO.DRYERS WTR.NTR3. 1.00 ADDRESS � iiJ lrvAL tity� F SI
ARB.DISP a STA.COOK //
CITY � D /1J Q U�A TEL. NO. 4_ Y30 p
� I
DISHWASH. AUTO.-WASH. STATE G
SPACE HTRS. A.APP.(%s H.P.M Z ,50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO GROUP ZONE MES]S EDD BY
O 1 1.00 ��CSC
1 3 1.50 INSPE TION RECORD Il
3 S 2.00
s 15 2.50 ( ,tea
¢ A Ad /
15 50 3.00 f }.
a
50 100 5.00 O
W
NO.TRANS
A at
SIGNS: NO.LAMPS �_ _ / f Ix
/ O
SERVICE 0.600V-NOT OVER 200A 1.00 Od �,(, (, �. w
SERVICE 0.60OV-OVER 200 A. 2.00 - (L
N
SERVICE OVER 600V 5.00 1 A`.JZ
1 G 12 C.,,•.�i�J
MISC. -10
PERMIT ISSUING FEE 2.00 Q67
SUPPLEMENTARY PERMIT ISSUING FEE 1.001 1
TOTAL FEE 8 D
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
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P PE�R/T�y POWER
SIG
OF
UTILITY CO.NOTIFIED "L 4"G
F PERMITTEE -
FINAL
LIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
4 9 0 6Zo' Jeri?� ► s 1 1 .`