HomeMy Public PortalAbout8728 HERMOSA DR_Electrical__ 7SA663-CEBOG IO-BI APPLICATION FOR ELECTRICAL PERMIT
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
NEAREST
FOR APPLICANT TO FILL IN I CROSS ST.
I T_9 M NO. I EACH FEE
OUTLETS: (FIRST 20) $.20 5 OWNER
LIGHTS RECEPT. BW. MAIL
OUTLETS: (ADD'L UNITS) 10 ADDRESS
LIGHTS RECEPT. SW.
LIGHTING FIXTURES: (FIRST 20) 20 CIT L. NO.
LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIA
RANGES CLO.DRYERS . WTR.HTRS. 1.00 ADDRESS 1 I/�
p�c
GARB.DISP. STA.COOK CITY TEL. NO vim/
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.0y2H.P.MA%.) .50 LICENSE NO. (� r
MOTORS: OVER NOT OVER H.P. DISTRICT NO. G �O P Z PR 55ED BY
O 1 1.00 JS
1 3 1.So INSPECTION RECORD
3 6 2.00D_
o
B - 15 2.50 ^�i - C 2
13 50 3.00 O
50 100 5.00 ,
d
SIGNS: NO.TRANS. H
NO.LAMPS Z
SERVICE 0-60OV-NOT OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
00
PERMIT ISSUING FEE 2.00 O
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 63
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 WIPING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR T"
T 1 AM LE OWNER OF THE ABOVE
DESCRIBED RESIDEN ALP PERTY POWER
SIGNATURE\ UTILITY CO.NOTIFIED
OF PERMITTEE n
FINAL
/VViQ.LIDATION ARTHUR C. VEIT 11
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
Lf 4- i
9840 % ,1. 2J 2 A 3 .00 Y,
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