HomeMy Public PortalAbout5011 GLICKMAN AVE_Electrical__ 76AG63_CEBOG_11_".. APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, County Engineer
CASSATT D. GRIFFIN, Sup t of Building LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMT FEES
F
TEM NUMBER EACH FEE OWNER '
' r $ $ MAIL
� RECEPT. SW. .1O ADDRESS
FIXTURES .10 CITY TEL.NO.
ES CLO.DRYERS ELECTRICIAN -TER HEATERS .50 ADDRESS
HTRS. DISHWASHERSISPOSERS AUTO.- CITYTEL.NO.
STA,COOKING UNITS .25 STATE
LICENSE NO.
MOTORS: OVER INC. H.P.
D — 1/2 25 DISTRICTNO. JGROLIP� Z READY FOR INSPECTION
1/2 — 2 .50 /
2 — s 1.00
INSPECTION RECORD
5 — 15 1.50
15 — 50 2.50
I� 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
TOTAL FEE $ : APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 r•
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE - UTILITY CO.NOTIFIED
OF PERMITTEE / ' ' ,_
FINAL
VALIDATION ARTHUR C.VEIT,
Mo CASIH SUPERVISING ELECTRICAL EE
LCTRICANGINER
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