HomeMy Public PortalAbout4841 GLICKMAN AVE_Electrical__ -76A6a3-CE806 9-64 APPLICATION FOR ELECT (CAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEERj �
COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY 1_1zl /e ef
NEAREST
/FOR APPLICANT TO FILL IN CROSS ST. �,�ztd
RECEPT. TOTAL I NO. EACH FEE
/ OUTLETS FIRST 20 y ,.$ $ "�y'y OWNER
LIGHT
i 20 V MAIL
r ADD'L ADDRESS
SWITCH. F _ OVER 20 _2Z/ .10 -V-0. ��
LIGHTING TOTAL i FIRST ZO 20 J. CITE( ll l �zll `Cl T,EL.NO.,/// (,L.
FIXTURES } /I J� I ov yr 10 ELECTRICIAN
l-� R 20
RANGES CLO.DRYERS WTR.HTRS. '�,. 1.00 ADDRESS
GARB.DISP. / STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE s- C
SPACE HTRS. STA.APP H.P� P._MAMAX.) .50 , '
LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PROC-ESSED BY
O 1 1.00 a J _
1 3 1.50 INSPECTION RECORD
p e IL
3 8 2.00 / ".j .^�Vin- "& 1 �`"i' 4`i � O
8 15 2.50
f V
c -t—'r-s k g
15 50 3.00
50 100 5.00 f, 0
V
SIGNS: NO.TRANS. Lu
NO.LAMPS (n
Z
SERVICE 0.60OV-NOT OVER 200A X 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ �j
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 IWr. O-Pf`o /{�k-?.>2
HEREBY .CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES - S�Af -`��.fl.�flt-�cJ�....J..' A ,
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO F
RESIDE IN, THE ABOVE DES O RESIDENTIAL ROP Tr. POWER
SIGNATURE / �y UTILITY CO.NOTIFIED
OF PERMIT T E" _ FINAL �o i fc.•-,� t--"
OCKMO(DATION JOSOH C. ROOHAN_
CASH SUPERVISING ELECTRICAL ENGINEER
MO CASH
L7 J 1