HomeMy Public PortalAbout6217 GOLDEN WEST AVE_Electrical__ 76A663-CE80610-62 APPLICATION FOR ELECT CAL PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER •-�
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY / 1
NEAREST
FOR APPLICANT TO FILL IN CROSS sT.
RECE TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER 11-1.0s-o
LIGHT � f MAIL
SWITCH �fJi ADD'L ADDRESS
OVER 20 lo%lo
TOTALCITY TEL. NO
LIGHTING FIRST 20 .20
FIXTURES ADD•L
OVER 20 .10 ELECTRICIAN
r-
RANGES CLO DRYERS WTR.NTRS 1.00 ADDRESS
GARB.DISP STA.COOK CITY TEL NO
AUTO-WASH STATE
SPACE HTRS. STA APP..(ys H.P.MAX.) ,50 LICENSE NO.
MOTORS- OVER NOT OVER HP. DISTRICT e �TUP
�QNE PROCESSED BY
O 1 ,1.00 �
1 3 1.So INSPECTION RECORD
' 3 d 8 2.00 ^
8 15 2.50
15 50 300 O
50 100 Soo j
06
SIGNS: NO.TRANS.
NO.LAMPS ,
SERVICE 0.600V-NOT OVER 200A 100
SERVICE 0.60OV-OVER 200 A. 200
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 100 -
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTORS SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING r/ -
ELECTRICAL WIRING WIRING (®
1 HEREBY CERT THAT I AM PROPERLY EGISTERED AND�OR
LICENSED AS RE UI D BY LOS ANGELES C NTY AND STATE OF FIXTURES
CALIFORNIA OR H I AM THE LE AL NER F THE ABOVE
DESCRIBED REBID IAL PERTY POWER
SIGNATURE TILITY CO NOTIFIED I A
OF PER.,
FINAL
- V LIDATION ARTHUR C. VETT -
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
SEPI 8