HomeMy Public PortalAbout5527 HALLOWELL AVE_Electrical__ 7eA663-CE608.10-62• APPLICATION_ FOR --ELECTRIC' IT.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
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,. :2 TOTAL. 1 NO. EACH FEE �•
OUTLETS FIRST 20 $.20
$ OWNE1� / �ff
LIGHT LD MAIL
! y _
_ _ OVER20. ,10 -ADDRESS'
,SWITCH. - -
TOTAL -NO. '
LIGHTING FIRST 20 �, , .20
FIXTURES, 9y ADD-L ELECTRICIAN. )
111 OVER 20 10
RANGES CLO.DRYERS -'WTR.'HTRS.> 1.00 ADDRES• -T �'J /7- !J
GARB.DISP. .'STA:COOK, /
CIT �" F�TEL.NO 'T- •(O
DISHWASH; AUTO.-WASH. - STATE
SPACE HTRS. STA.APP.(yII H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRIC NO GROUP Z�QLN PR E BY
O 1 1.00
31.so INSPECTION RECORD �•.
i=
3 s' 2.00
B 15 2.50 e _
15. 50 3.00 - W
50 - 100 - 5.00 -
SIGNS: NO.TRANS.,
NO.LAMPS
SERVICE 0-60OV-NOT OVER 200A' too -
SERVICE 0-600V-6VER 200 A. 2.00
SERV ICE OVER 600V 5.00
PERMIT ISSUING FEE', 2.00 - -
SUPPLEMENTARY PERMIT;ISSUING FEE 1.00 •• - --TOTAL FEE 't '• "`
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' CONDUIT
•-WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECIRICAL,WIRING: - - WIRING
1 HEREBY CERTIFY THAT ,1 AM PROPERLY:REGISTERED AND/OR_
LICENSED AS REQUIRED BY LOS LE COU Y AND+STATE'OF FIXTURES - .�
CALIFORNIA OR THAT I AM' LEG W "OF THE ABOVE
DESCRIBED RESIDENTIAL PR ERTY. - POWER
SIGNATURE - UTILITY CO.NOTIFIED - 1 •-�
OF PERMITTEEFINAL
- VALIDATI ARTHUR"C. VEIT'
CIC MO. CASH SUPERVISING ELECTRICAL ENGINEER.'
0.2,0' 6 40C'T30 2 P , .3..80"