HomeMy Public PortalAbout5001 GLICKMAN AVE_Electrical__ 76A669-CE606 4-60
APPLICATION FR`IOELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS () .
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN. SUP'TOF BUILDING LOCALIT -
FOR APPLICANT TO FILL IN NEAREST 5c 4r
CROSS S G
PERMIT FEES
OWNER
I T E M NUMBER EACH FEE MAIL Y
po
5116
�� ;L $ $ ADDRESS
RECEIT.�-; SW. � � .10 _
G FIXTURES o G CIT -�. TE NO.
GES / CLO. DRYERS ELECTRICIAN
TER HEATERS .50 ✓ ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY �� r` TEL.NO.
CGARBAGE DISPOSER 1 AUTO.- -g STATE /
WASHERS STA. COOKING UNITS •25 /% LICENSE NO _ --I
MOTORS: OVER INC. H.P. DISTRIF NO. GROUPNE PI DCESSEDDtBY
k/ 0 — I/2 i' .25 Z I ` C
12 2 •50 INSPECTION RECORD
2 5 1.00 p}.,
5 15 1.50 0
15 50 2.50 IxO
H
50 - 200 5.00 U
W
SIGNS: NO TRANS. N
NO. LAMPS Z
SERVICE 0.6 OV 1.00 p
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1,00 '70
FIXTURE PERMIT 1.00 V Q
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ ('
1HEREBY 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
� I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA ORCIA LEGAL OWNER OF THE ABOVEDESCRIBED RESTY. POWERSIGNATURE UTILITY CO. NOTIFIEDOF PERMIT -Z r
FINAL
DATION ARTHUR C.VETT.
C Mo CASH SUPERVISING ELECTRICAL ENGINEER
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i176A669-CE90510-99 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRESS7'�
�y
BUILDING AND SAFETY DIVISION Ael
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING "
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS Sr
ITEM NUMBER EACH FEE OWNER
MAIL '
OUTLETS: $ ADDRESS ( -f-
OUTLETS: RECEPT. SW. .10
LIGHTING FIXTURES 10 CITY - ��-- TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN 2.11 llrw
G
� WATER HEATERS .50 ADDRESS
ELEC.SPACE HT—RSA DISHWASHERS
CITY TEL. NO. Z.
GARBAGE DISPOSERS AUTO.- STATE _
WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT 0 (GROUPI ZONE jP CESSED Y
0— 1/2 .25 J/ U
1/2- 2 .50 INSPECTIO CORD
2— 5 1.00 Q ,
5— 15 1.50
IS— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50 S Q
TOTAL FEE S
i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLIC ION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWN E OF THE ABOVE
DESCRIBED RESIDENTIAL P POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITT
FINAL
OF VALIDAARTHUR C.VETT,
cK mo cwsH SUPERVISING ELECTRICAL ENGINEER
0 4 8 9 2 ArR 4 2 U .7 S M
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