HomeMy Public PortalAbout8733 HERMOSA DR_Electrical__ 76A563-CF_606 8/63 APPLICATION FOR ELECTRICAL PERMIT ,
COUNTY OF LOS ANGELES
` DEPARTMENT OF COUNTY ENGINEER BUILDING Il
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, 1I TOTAL NO. EACH FEEly
I OUTLETS 20 BOWNER LISHi JI( L �� MAIL
ADDRESSSWITCH. _ OVER 20 .10TOTAL CITY TEL. NO.
LIGHTING 1 F1RBT 20 .20FIXTURES f( �f Aoo'L ELECTRICIAN
RANGES CLO.DRYERS MT R.H RS. 1.00 ADDRESS zPGARB.OISP. / STA.COOKCITY //TEL. NO.IBHWASH. AUTO.AFF / 9 CENSE NO. (onSPACE HTRS. STA.APP.Iy.NP. A/L1 .50MOTORS: OVER NOT OVER H.P. DIST C NO. GROUP NE P
O 1 1.00 � a
1 3 1.50 INSPECTION RECORD
3 B 2.00 Y
a
8 15 2.50 0
18 50 3.00 yr
50 100 5.00 O
SIGNS: NO.TRANS- bd
NO.LAMPS
N
Z
SERVICE 0.600V-Nor OVER 200A 1.00
SERVICE O.GOOV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE ®�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS Co RRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING / I
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR
THAT
I AM THE LEGAL WNER OP E ROVE
DESCRIBED REBIOENTIA PR E Y. POWER ..ff p P
SIGNATURE UTILITY CO.NOTIFIED i�/ 1--
P rJ ��n/,�A A I
OF ERMITTEE149 1 to' / IL/ lA%.✓.
FINAL 4
(VALIDATION ARTHUR C. VEIT
&K, MO ' CASH SUPERVISING ELECTRICAL ENGINEER
Lilo78 6 o" APP20 2 A 14.80-