HomeMy Public PortalAbout5325 GOLDEN WEST AVE_Electrical__ 7GA663-CE806.10.56 APPLICATION FOR ELECTRIC PERMIT
WELDING AND SAFETY DIVISION
Deportment of County Engineer BUILDING
County of Los Angeles ADDRESS
JOHN A. LAMBIE.COUNTY ENGINEER y�
CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY Tom_ e
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES
OWNER
LIGHTS RECEPTACLES SWITCHES
NUMBER I T E M EACH FEE MAIL
ADDRESS
TOTAL OUTLETS $ .10 $ � � - '
ELEC. RANGES, WATER HEATERS, CITY TEL. NO.
CLOTHES DRYERS .50 �yq i
ELECTRICIAN
ELEC SPACE HEATERS, STAT'Y COOK-
ING UNITS, A.AJLS 4G.E D,ISP.OS.SRS, �j ADDRESS-, ,QfCy
l,.�
AUTO WASHERS, DISHWASHER 25 s(i
LIGHTING FIXTURES ,10 �� 61TY aa .�s� TEL. NO,.�,91�S-2e-
MOTORS STATE
LICENSE NO. /a -�
HORSEPOWER
H P OVER INC DISTRICT NO. GROUP ZONE READY FOR INSPECTION
1/2 @LEGS .25
ILA
1/ 2 50 INSPECTION RECORD
2 5 1.00
S 15 1.50
15 50 2.50 '
50 200 5 00
MISC
SIGNS I NO TRANS
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00
FIXTURE PERMIT 1 00 1099
SUPPLEMENTARY PERMIT •50 APPROVALS
TOTAL FEE $ .J DATE INSPECTORS SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LIGATION -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING i/ /
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY 42/
SIGNATURE ..,/ UTILITY CO. NOTIFIED I
OF PERMITTEE r
FINAL '
JOHN A. LAMBIE. VALIDATION ARTHUR C.VEIT.
COUNTY ENGINEER CK MO CASH SUPERVISING ELECTRICAL ENGINEER
--AC0 4 5 8 8-U. NO"a 215 2 T1 M
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