HomeMy Public PortalAbout5225 GLICKMAN AVE_Electrical__ 76A653_CE906 5.62 APPLICATION FOR ELECTRIC.4- PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION iCROSS
ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUP 'T OF BUILDING /04 LOCALITY
NEAREST
FOR APPLICANT TO FILL IN ST.
RECEPT., TOTAL NO. EACH FEE
LIGHT OUTLETS FIRST 20 $20 $ �, OWNER
MAIL
ADD'L ADDRESS
SWITCH. OVER 2O .10
TOTAL CITY TEL. NO
LIGHTING 1 r (FIRST 20 .20 �-+ ul
FIXTURES 1( /J Dv R'L 10 ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. / STA.COOK
CITY TEL. NO.
DISHWASH. AUTO.-WASH. / STATE
SPACE HTRS. STA.APP.(+/a H.P.MAX. 50 LICENSE NO. f
MOTORS: OVER NOT OVER H.P. DISTRICT Nfj GROUP ZONE PFZ9y�E SED JRY
O 1 1.00 ((
I 3 1.50 INSPECTION R CORD
3 S 2.00
s 15 2.50 a
15 50 3.00 u
50 100 5.00 0
O
SIGNS: NO.TRANS U
NO.LAMPS LLI
d
SERVICE 0.60OV-NOT OVER 200A 1.00 to
Z
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE ��
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INBPECTOR'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
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED Y LOS ANGE ES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT AM THE LE L/7 )O THE ABOVE
DESCRIBED RESIDENT( P Y. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
LIDATION ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
�11711
MO CASH
LAW 9 0 0 4 JAI1 2 :7 u 1 6.4 0-
�CJ" L'IL/vI/✓