HomeMy Public PortalAbout9057 HERMOSA DR_Electrical__ 76A0
34
UI094.6
0 APPLICATION FOR ELECTRICAL PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 90 S7 E.P OR L/,
JOHN A.LAMBIE, COUNTY ENGMEM
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY 7 Cl r
Fs
OR APPLICANT TO FILL IN "Ross sr. L5-
PERMIT FEES OWNER L A L EN
I T E M NUMBER EACH FEE AILp
S: $ $ ADDRESS J OS — Lt
RECEPT:. - SW: .10
G MXTURES?C 10 CITY -rG C! EL.NO.
NGEB OELECTRICIANTER HEATERS .50 ` ADDRESSACE HTRS DISHWASHERS CITY TEL.NO.
DISPOSERS AUTO. STATE
S' BTA. COOKING UNITS .25 LICENSE NO.
S: 'OVER INc. H.P. ,DISTRICTNO. GROIJ" P SE 11.25IN PECTION[ E ORDs — I1.50 // [ /JO"-15 — 50 2.50 //� r/ ✓O
SO — 200 5.00 • l0 °' ���qqqu� � WNO TRANS,
NO. LAMPS Z
V
LI
CE0.600V 1.00 0-6
CE OVER 600V 5.00
G PERMIT 1,00 �Q
RE PERMIT 1.00 OO
LEMENTARY PERMIT .50
TOTAL FEEEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVAL$ DATE INSPECTOR'S SIGNATURE
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYALL COUNTY ORDINANCES AND STATE LAWS REGULATINGGONUTRICAL WIRING. WIRING
EREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/ORSED AB REOUIREO BY LOS ANGELES COUNTY ANO STATE OF FIXTURES
ORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
RIBED RESIDENTIAL PROPERTY. POWERRE
ERM TTE SIGNATURE � ' UTILITY CO. NOTIFIED n
Iwa'. FINAL
VALIDATION ARTHUR C.VEIT.
QCs/ MO CASH SUPERVISING ELECTRICAL ENGINEER
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