HomeMy Public PortalAbout5718 GOLDEN WEST AVE_Electrical__ 76A663-CE806 8-62 APPLICATION FOR ELCTRICAL PERMIT,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING Ja
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY C
NEAREST
FOR APPLICANT TO FILL IN CROSS ST,
REI EPT TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER
LIGHT610— a" MAIL
ADD'L ADDRESS
SWITCH /40 OVER 20 .10 Q
TOTAL CITY TEL. NO. '
LIGHTING F7R3T 20 .20
FIXTURES ADD'L 10 ELECTRICIAN
OV R 20
RANGES CLO.DRYERS WTR HTRS 1.00 ADDRESS aa O
GARB;DISP STA COOK CITY TEL..NO.
DISHWASH. AUTO-WASH. STATE r
SPACE HTRS. BTA.APP (-/a H P.MAX.) .50
LICENSE NO.
MOTORS. OVER 'NOT OVER H.P. DIST ICT O. GR UP NE P ESSED B
O 1 1.00 (/
1 3 1,50 INSPECTION RECORD
3 S 2.00
8 15 250
15 50 3.00 r
a
50 100 500 O
SIGNS NO.TRANS Or:
NO.LAMPS 0
H
SERVICE 0-60OV-NOT OVER 200A 1.00Q W
CL
SERVICE 0.600V-OVER 200 A. 1200 1 N
Z
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 Q Q
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI &TION APPROVALS,/_ DATE I NBPECTOR•$(SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT ,G( B
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING +� "
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I•AM PROPERLY REGISTERED AND/OR . d
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIoj PROPERTY, POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
LIDATION ARTHUR C. V IT
'
OCKMO CASH SUPERVISING ELECTRICAL ENGINEER
0,1 4 5Q, SEP�'•3; 2 D 9.0.0 '