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HomeMy Public PortalAbout5839 A,B,C GOLDEN WEST AVE_Electrical__ 76A883-CE80810.62 APPLICATION FOR ELECTRICAL- PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS t 5 JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY "S1..J` _ L /•� NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT 3 TOTAL . NO. EACH FEE ' OUTLETS FIRST 20 ffi 20 ffi OWNER LIGHT coli_ MAIL AD"L h ADDRESS ' SWITCH OVER 20 1 .f0 (J TOTAL /�. CITY TEL NO. LIGHTING FIRST 20 �d .20 CJ FIXTURES 1 ADD'L ' lO ELECTRICIAN` �J OVER 2O Y RANGES CLO.DRYERS WTR HTRS 1.00 ADDRESS GARB DISP STA.COOK CITY TEL NO. D I SHWASH AUTO.-WASH STATE ' . 3 SPACE HTR9 3 STA.APP.(1/i H.P.MAX ,50 LICENSE NO. Z ' MOTORS- OVER NOT OVER H.P. DISTRICT NO. GROUP NE PRO S BY / o 0 1 - 1.00 p I 3 1.50 INSP CTION RECORD 3 8 2.00 _ ^, ' h!_ s �_- ' ;a !+r,l . O 8 15 250 U 15 50 3.00 V SO 100 5 00 {�J a SIGNS: NO TRANS fn NO LAMPS SERVICE O.600V-NOT OVER 200A 1.00 C SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC PERMIT ISSUING FEE 2 00 SUPPLEMENTARY PERMIT ISSUING FEE 100 - TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING f� 1 ELECTRICAL WIRING. - WRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR f a LICENSED AS REQUIRED BY LOS ANGELES COUNTY'AND STATE OF FIXTURES ) -CALIFORNIA OR THAT 1 AM THE LEGAL OWNER'OF THE ABOVE / DESCRIBED RESIDENTIAL PROPERTY POWER -i,•/1/F' SIGNATURE UTILITY CO.NOTIFIED �/ 1 OF PERMITTEE .a FINAL — LID ' CA ARTHUR C. VETT ' CK MO CASH SUPERVISING ELECTRICAL ENGINEER , . l'9'4 o a1 AUS27 2 D 2 &590- ,