HomeMy Public PortalAbout5327 GOLDEN WEST AVE_Electrical__ 7GA663-CE806-11-57 A P P LI I C A T I O N FO,R ':E'L.E C T R I C PERMIT
- 1 .
COUNTY OF LOS ANGELES 91
DEPARTMENT OF COUNTY, ENGINEER, B U I L D I N G
BUILDING AND SAFETY DIVISION ADDRESS �3
JOHN A. LAMBIE, County Engineer,
CK3SATT D. GRIFFIN, Sup't of Building LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PEPMT FEES'
ITEM NUMBER EACH FEE OWNER -
OUTLET ) /� $• £ MAIL
LIGHTS RECEPT SW h - (O' 10' ADDRESS "
LIGHTING'FIXTURES 10 CITY TEL NO ,
ELEC RANGES CLO DRYERS
WATER HEATERS 50
ELEC SPACE HTRB DISHWASHERS - ADDRESS 7
GARBAGE DISPOSERS AUTO- TEL NO
04)
WASHERS STA COOKING UNITS, 25 - - STATEif
O/•
LICENSE NO / (O
MOTORS- OVER INC H P - A' ,
DIST R� GRO P ZONE. READY FOR INSPECTION
1/2 — 2 'c 5OA
INSPECTION RECORD" '
2 — 5 100
5— 15 1 50
15 — 50 - 250 ,
50— 200 500
SIGNS' NO TRANS '
NO LAMPS
SERVICE 0-600V 100 1 O
SERVICE OVER 600V 5 00 _
MISC
WIRING PERMIT 1 00 -
166
FIXTURE PERMIT .-I.00 '
SUPPLEMENTARY PERMIT y 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 t
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR 'THAT 1 AM TH LEGAL OWNER OF ,THE ABOVE POWER '
DESCRIBED RESIDENTIAL PE
,rr
SIGNATURE UTILITY CO NOTIFIED
OF PERMI"n FINAL Cali
VA ARTHUR C.VETT.
CK MD CASH SUPERVISING ELECTRICAL ENGINEER -
' 5 2 67u° SEP 29 2 A 7:75 .
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