HomeMy Public PortalAbout5210 GLICKMAN AVE_Electrical__ 76A663-CE806 5-62 APPLICATION FOR E.LECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER MN�EAREST
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING
FOR APPLICANT TO FILL IN RECEPT.� TOTAL NO. EACH FEE
LIGHT OUTLETS FIRST 20 820
ADO'L .10 ADDRESB
SWITCH. OVER 20
TOTAL CITY TEL O.
LIGHTING F1Rsr 20 .20
FIXTURES ADD'L 10 ELECTRICIAN
OV R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB,DISP. STA.COOK 41// �//
CITY TEL.NO. Y'
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(y H.P.MAX.) ,50 LICENSE NO. /v a
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP' NE P ESSED BY
O 1 1.00
1 s 1.50 INSPECTION RECORD
s S 2.00
8 is 2.50 }
a
O
15 50 8.00 V
s0 100 5.00 Of
O
SIGNS: NO.TRANS- U
NO.LAMPS W
D_
to
SERVICE 0.600V-NOT OVER 200A 1.00 Z
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
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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
I HEREBY CERTIFY THAT I A ROPERLY REGISTERED AND/OR
LICENSED AS R GUIRED BY LO A ELES COUNTY AND STATE OFFIXTURES
CALIFORNIA O 7H T I A 7 AL OWNER F E ABOVE
DESCRIBED RE ID IAL P PE If POWER
SIGNATURE UTILITY CO.NOTIFIED i
OF PERMITT _
FINAL ��
0LIDATION AR H C. VEIT'
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L,lijO 7 5 6 5 NOV 2 9 2 D 3.4 0-
r
76A663-CE806 5-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER,6�FNE
ING c�
BUILDING AND SAFETY DIVISION ESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LITY
EST
FOR APPLICANT TO FILL IN S ST.
RECEPT. TOTAL r
O. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER
LIGHT �- MAIL
A Do'L .10 ADDRESS
SWITCH. " OVER 20
TOTAL CITY NO.
LIGHTING F1Rsr 20 20
FIXTURES / ER 2
OV(:R 20 10 ELECTRICI N
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS �
GARB.DISP. STA.COOK
CITY EL. NO
D19HWASH. / AUTO.-WASH. STATE
SPACE HTRS.qZ STA.APP.(ys H.P.MAX. .50 3 O LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT
NO. GROUP Z E PROCESSED BY
O 1 1.00 'r-+d O L
1 3 1,50 INSPECTION RECORD
3 8 2.00
8 15 2.50 }
0-
15 50 3.00 0
50 100 5.00 O
SIGNS: NO.TRANS
NO.LAMPS
W
- D_
SERVICE 0.60OV-NOT OVER 200A 1.00 U)
Z
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 8
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 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/ -
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 TV LEGA OWN E ABOVE
DESCRIBED RESIDENTIAL POWER
SIGNATURE UTILITY CO.NOTIFIED AD
OF PERMITTEE
FINAL
VALIDATION AT11UR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
0067 JAN 23 2 D 1 6.9G-~
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