HomeMy Public PortalAbout6258 GOLDEN WEST AVE_Electrical__ 76A663-CE806 3-64 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DE-PARTW`ENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY ,
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
117
OUTLETS FIRST 20 Q $20 $ " OWNER
LIGHT y� MAIL
SWITCH. /v/ OVER
2 10 ADDRESS
�--/ OVER 2O
TOTAL CITY ARL.NO. - L(r
LIGHTING F1 .20
IL
FIXTURES ADD'DD'L 1O Aol
ELECTRICIAN
OV R 2O
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS�f
GARB.DISP.x STA.COOK �. CITY TEL.NO.
3
DISHWASH.x AUTO.-WASH. / STATE v '
SPACE HTRS.z STA.APP.(ys H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT N GprP ZONE PR E D BY
O 1 1.00
1 3 1.50 INSP CTION RECORD
3 6 2.00 0
8 is 2.50
15 50 3.00 N
V
50 100 5.00 UJ
H
SIGNS: NO.TRANS Z
NO.LAMPS
SERVICE 0.600V-NOT OVER 200A 1.00 0
SERVICE 0.600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
1
PERMIT ISSUING FEE 2.00 r
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ d d
LCLAFBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE_
TE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
LL COUNTY ORDINANCES AND STATE LAWS REGULATING
CAL WIRING. WIRING
EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Vh
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ;t _
NIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
ED RE8IDENTI PROPERTY. POWER ,I
UREUTILITY CO.NOTIFIED ' fMITTEE
FINAL
VALIDATI ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
��0 3 1 y 0' JU�J D 2 0.2 0�