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HomeMy Public PortalAbout4859 GLICKMAN AVE_Electrical__ 76A663-DE806 9-64 APPLICATION FOR EL tCTRI'C,At PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY r, NEAREST et, FOR APPLICANT TO FILL IN I CROSS ST. ./ RECEPT. LTOTAL NO, EACH FEE OUTLETS FIRST 20 $20 $ ©�� OWNER LIGHT � ^ I e MAIL ADD'L 3 .10 ADD8ESS OVER 20 J TOTAL ` ,: CITY TEL. NO. LIGHTING F)RST20 �'�` .20 /i� FIXTURES ADD'LoVER 20 10 ELECTRICIAN R_ CLO.DRYERS WTR.-TRS. 1.00 ADDRESS/ /I GARB.DISP. STA.COOK • t -w /" TEL. NO. r- �-, CITY / DISH WASH. CiTO—WAS-HT STATE '7 SPACE HTR3. STA.APP.(I/y N.P.MAX.+ 1 ,g0 LICENSE NO. "-a MOTORS: OVER NOT OVER -.P. DIST rT pQYGRO NE P ESSE�yD�BY O 1 1.00 y 4, �J -"c 1 a 1.50 INSPECTION RECORD >- 3 8 2.00 � O a 15 2.50 V 15 50 5.00 Q. 50 100 5.00 V NO.TRANS UJ SIGNS: 0- NO.LAMPS In Z SERVICE 0-60OV-NOT OVER 200A 1.00 SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 2- 00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE a G 0 � 1 HEREBY ACKNOWLEDGE THAT I 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 t , HEREBY .CERTIFY THAT I PROPERLY REGISTER O AND/OR FIXTURES A ' F - LICENSED AS REQUIRED BY O NGELES NTY A STATE OF CALIFORNIA OR THAT I AM H EGA %OW E OF, INTE44D TO RESIDE IN, THE ABOVE DE 'R RE ,[SE IA PR TY. POWER SIGNATURE rj UTILITY CO.NOTIFIED r A, OF PERMITTEE FINAL A�IDATION JOSEPH C. ROOHAN ` CK MO CASH SUPERVISING ELECTRICAL ENGINEER 5 2 1 0 - rl '1 6.,. 0