Loading...
HomeMy Public PortalAbout5858 GOLDEN WEST AVE_Electrical__ 76A°93_CEaoe10_5' APPLICATION FR E L RIC PERMIT 1 EC C COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERNG �+l Sd Y✓�S BUILDING AND SAFETY DIVISION ADDRESS 1f JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN,SUPT OF BUILDING LOCALITY -FOR APPLICANT TO FILL IN NEAREST PERMT FEES CROSS ST. �SI T E M NUMBER I EACH FEE OWNER ,OUTLET y $ 1O g MAIL LIGHTS RECEPT. SW. aV / © ADDRESS LIGHTING FIXTURES 10 Q CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .SO ADORESSL U/ �/ � ELEC.SPACE HTR54061SHWASHERS CITY S� �� TEL NO T L/O!O dP — GARBAGE DISPOSERS Il" AUTO- STATE WASHERS STA COOKING UNITS � .25 �v LICENSE NO MOTORS* OVER INC. H P .2 S DISTRIC O. GR�Ol P I ZONE P E SED Y O— 1/2 r 2/2— 2 .50 INSPECTION RECORD 2— 5 100 5— 15 1.50 15— 50 250 50-200 500 SIGNS: NO TRANS. NO.LAMPS SERVICE 0-600V too Q SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 C/ SUPPLEMENTARY PERMIT .50 TOTAL FEE IS Q 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 �`����p p� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT �Iw:��TA7lA ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING LICENSED ASREQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 HE O WN OF THE ABOVE DESCRIBED RESIDENTIAL ROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERM 177EE (✓ir FIN A _ OF TION SUPERVISING ELECTRICAL ENGINEER CK MOACASH LACo9 6 0 7-� DEC g 2 D 520 �°