HomeMy Public PortalAbout5920-5922 GOLDEN WEST AVE_Electrical__ 76A669-CE806 12-58 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES 1
DEPARTMENT OF COUNTY ENGINEER BUILDING
l BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FIL`L IN NEAREST
CROSS ST. �
PERMIT FEES
1
ITEM NUMBER EACH FEE OWNER
OUTLET �1 g g•'1 MAIL
LIGHTS RECEPT.I�S SW. / f0 0� ADDRESS
LIGHTING FIXTURES 10 1 t� CITY TOO NO I
ELEC RANGES CLO DRYERS ELECTRICIAN
1
W A T E R HEATERS 50 ADDRESS f
ELEC SPACE HTRS DISHWASHERS �
JJ�� CITY TEL NO
GARBAGE DISPOSERS I l/ AUTO- -�
- STATE
WASHERS STA COOKING UNITS / 25 l ` LICENSE NO
MOTORS. ,PvER INC HP
-,DISTRICT O. GROU ZONE I PR &S BY
1/z f 0 25 1
I/2- 2 - 50 INSPECTION RECORD
2— 5 100 -
5— 15 150
is— 50 250
50-200 500
SIGNS: NO TRANS
NO LAMPS
SERVICE 0-600V �, 1 00
SERVICE OVER 600V 500
MISC.
WIRING PERMIT 1.00 1
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT 50
TOTAL FEE APPROVALS
I•HEREBY ACKNOWLEDGE THAT-] HAVE READ THIS ftk�ION S'� DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COU AND STAOF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OW ER OF THE Al'.OVE '
DESCRIBED RESID/EN�:ui�P/�'� POWER /��
SIGNATURE `' / a...LSZ_ 'UTILITY CO NOTIFIED "' ,,.+� ! _Add
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®P V_AO CAH ARTHURSUPERVISING ELECTRICAL ENGINEER
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