HomeMy Public PortalAbout4834 GLICKMAN AVE_Electrical__ 7CA663-CES0610-62 APPLICATION FOR ELECT ICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDIN /
BUILDING AND SAFETY DIVISION ADDRESS �> . lG f7i 3. T7
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY �-
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. - TOTAL NO. EACH FEE /
lk) OUTLETS FIRST 20 �� $20 $ 4 vo OWNER -
LIGHT / MAIL '
SWITCH. : ADI)'L ADDRESS
OVER 20 .10 `-11
TOTAL - CITY TEL.NO.
LIGHTING FIRST 20 .20
FIXTURES ADD'L
�1�1f OVER 20 .10 ELECTRICIAN G_
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS - le" C �"�(/
GARB.DISP.x STA.COOK
CITY OY NO. p�` i f
DISH WASH. AUTO.-WASH. TEL.STATE
SPACE HTRS. STA.APP H.P.MAX.) .550 LICENSE NO. /
MOTORS: OVER NOT OVER H.P. DISTRICT NO, GROUP ZONE PR. ESSED BY
O 1 1.00
1 3 1.50 INSPECTION RECORD
3 s 2.00 C- ( —6
B Is 2.50 Q
l�
15 50 3.00 050 100 5.00
SIGNS: NO.TRANS. tfj'
a
NO.LAMPS N
SERVICE 0.600V-Nor OVER 200A 1.00 z
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00 MISC.
PERMIT ISSUING FEE 2.00 C900
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI PROPEq'FY.�, POWER
SIGNATURE \\ UTILITY CO.NOTIFIED ^'' Q-
OF PERMITTEE
FINAL
(jCKM' O
CASH DATION ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
.0 2 1 7' "1 17 2 D 12.10-
V
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