HomeMy Public PortalAbout4836 GOLDEN WEST AVE_Electrical__ 7GA663-CE60610-69 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ' '!I
BUILDING AND SAFETY DIVISION ADDRESS ! JLC li
JOHN A. LAMBIE. COUNTY ENGINEER a �'
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAR i.
PERMIT FEES
/ ITEM �} NUMBER OWNER
EACH FEE MAIL
OUTLEIGHTS YL�" RECEPT. SW. / $ .10 ADDRES
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CITY 1f r TEL.NO
LIGH711tIG FIXTURES .10
ELEC.RANGES CLO.DRYERS ELECTRICIANa�'.
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY NO--"/: t
GARBAGE DISPOSERS / AUTO.- / .— STATE Z�—
WASHERS STA.COOKING UNITS .25
LICENSE NO.
MOTORS: OVER INC. H.P. DISTTNO. G UP ZONE] PR SED BY
O— 1/2 ` .25AkLc I /
1/2- 2 .50 INSPECTION RECORD
2— 5 1.00 _
5— i5 1.50
Is— 50 2.50
50-200 5.00
SIGNS: NO.TRANS. _ jy
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00 l �-
MISC.
H' ti
WIRINGPERMIT 1.00
FIXTURE PERMIT 1.00 c_
SUPPLEMENTARY PERMIT .50 _
TOTAL FEE r
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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. �• G O `�mss`_
1 HEREBY CERTIFY THAT I AM PROPERLY REGI ERE AND/OR WIRING 1/'•r �re
LICENSED AS REQUIRED LOS ANGEL COU AND STATE OF FIXTURESCALIFORNIA OR THAT I M E LEG OWN F E ABOVE
DESCRIBED RESIDENTIAL R RTY. POWER a1
SIGNATURE UTILITYCO.NOTIFIED _
OF PERM ITTE •••/// /]" - / Fr,,
�FA IDATION ARTHUR C.VEIT,
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
(� �9 1 7 2cl-'O:' AP1R 12 2 A 10 .3 0
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