HomeMy Public PortalAbout10118 GREEN ST_Electrical__ 76Ae83•CE80810-80 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY NG
BUILDING AND SAFETY DIVISION "ULoE
N ENGINEER ADDRSS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY / �N��7���= —e ! / ���h•
NEAREST _`.r4lk0W�"f I V11'
CROSS ST. ��J/ (''�'
FOR APPLICANT TO FILL IN _
PERMIT FEES OWNER k lA-J—F`T/
1 T E M NUMBER `
EACH FEE MAIL
ADDRESS • o 7-o /
OUTLETS: tt $ $
LIGH7S ?
7
REGEPT7 SW. ✓ .10 CITY TEL. NO.C�`-L�Ze7
LIGHTING FIXTURES .t0 ��•
ELEC. RANGES CLO. DRYERS ELECTRICIAN
6474 LA-1-
WATER HEATERS .50 ADDRESS G(�
ELEC.SPACE HTRS DISHWASHERS
/ CITY TEL NO.
GARBAGE DISPOSERS / AUTO.- STATE
WASHERS STA.COOKING UNITS .25 ` LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT GROUP ZON P �r-E ED
O— 1/2 .25 (� �
1/2- 2 .50 INSPECTION RECORD
2— 5 1.00 d
5— 15 1.50 0
15— 502.50 �
so— 200 5.00 0
SIGNS: NO TRANS. W
NO.LAMPS �
N
SERVICED-600V 1.00 J z
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 `
SUPPLEMENTARY PERMIT 1 .50
TOTAL FEE $ D
IHEREBY ACKNOWLEDGE THAT I 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 1- S REGULATING
ELECTRICAL WIRING. WIRING
1HEREBY CERTIFY THAT I AM PROPERLY ISTERED AN ~
LICENSED AS REQUIRED BY LOS ANGELES C NTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL O ER OF THE AS VE
DESCRIBED RESIDENT; P OPER POWER
SIGNATURE f UTILITY CO.NOTIFIED
OF PERMITTE
FINAL _ _ _ � „n`'
nLIDATION ARTHUR C. VEIT
Mo CASH SUPERVISING ELECTRICAL ENGINEER
:, 4 7 3 .just 132 0 14.30