HomeMy Public PortalAbout4836 GLICKMAN AVE_Electrical__ 806 5.6 APPLICATIO FOR ELEC (CAL PER IT
76A663 CE 2
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 14 AJ
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY �L•�u l�-�
NEAREST / `S
FOR APPLICANT TO FILL IN CROSS ST, v� Ctl LFn
RECEPT./ TOTAL LF.R20 NO. EACH $ FEE OWNER
LIGHT �� OUTLETS20 MAIL
ADDRESS
SWITCH./�' � O � .10 /
LIGHTING TOTAL 0 ,� .20 CITY TEL. NO.
FIXTURES } /� 10ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK CITY l7 TEL.NO.
DISH AUTO.-WASH. STATE
SPACE HTRS. STA.APP.O/A H.P.MAX.) .50 LICENSE NO.
le
MOTORS: OVER NOT OVER H.P. DISTRICT NO. G UP I ZCINE P ED BY
O 1 1.00
1 8 1.so INSPECTION RECORD
g S 2.00
S 15 2.50 D'
O
15 50 8.00 U
50 100 5.00 O
H
SIGNS, NO.TRANS V
W
NO.LAMPS O_
N
SERVICE 0.600V-Nor OVER 200A 1.00 Z
SERVICE 0.600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE ffi
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 1 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 RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
(DATION A HUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
L.ltd'.)
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