HomeMy Public PortalAbout4936 HELEO AVE_Electrical__ 76A663-GES06 10-62 APPUCAIWN FOR -EdECTMAL PERMH ' 'Yy 3
COUNTY OF LOS ANGELES m ,
DEPARTMENT OF COUNTY ENGINEER BUILDING "
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUP'T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
LIGHT
OUTLETS FIRST 20 o $.20 $ Qo OWNER l�
/ 1xC! MAIL
ADD'L1 ADDRESS
SWITCH. OVER 20 1 .10
,G l Vit.
20 - E . .
FI
LIGHTING TOTAL� FIRST 20 1 CITY TLNO +'
XTURES I ADD'L
OVER 20 ELECTRICIA
10 ,
RANGES CLO.DRYERS WTR.HTRB. 1.00 ADDRESS
' GARB.DISP. STA.COOK
r . CITY,SO—' c7?4Ct TEL.N0. l "
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(y H.P MAX.) L ,50 LICENSE NO.
MOTORS: 'OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE Pn C SED..BY -
O 1 1.00 _ �-
k'
I 3 1.50 INSPECTION RECORD
3 8 2.00 -
i a
s 15 2.50 OO
15 50 3.00 p�
50 100 5.00 ° }0-
SIGNS: NO.TRANS. O.
o NO.LAMPS yy
t; b
s SERVICE 0.60OV-NOT OVER 200A 1.00 G
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00 °
MISC.
PERMIT ISSUING FEE 2.00
I
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY 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 LAWS REGULATING /
ELECTRICAL WIRING. WIRING �"� •p
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES -
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE �' UTILITY CO.NOTIFIED
PERMITTEE rw j
FINAL
LIDATION ARTHUR C. VEIT
MO CASH SUPERVISING ELECTRICAL ENGINEER
` hLo_9. 4 1 0 Qa AUG 27 2 D 1 4.4 0'Illf