HomeMy Public PortalAbout6120 KAUFFMAN AVE_Electrical__ '6A663i8♦06 5-62 APPLICATION FOR ELECTRICAL ERMIT I,�
COUNTY OF LOS-ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING -
BUILDING AND SAFETY DIVISION ADDRESS
4A4 6A-
JOHN A. LAMBIE,•COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN cRoss sT.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 2'0 20 $ OWNER
LIGHT 0MAIL
Q
+�O / ADD'L f0 ADDRESS
SWITCH. JS, t OVER 2O fes'
LIGHTING TOTAL F1RST20 .20 �( CITY- TEL. O. CD
FIXTURES '} ovDa 20- C) .10 a CID ELECTRICIAN _
RANGES CLO.DRYERS/ WTR.HTRS. 1.00 ADDRESS 00 ew"
GARB.DISP./ STA.COOK '
CITY ^ TEL,NO. J s
DISHWASH.1, AUTO.-WASH. STATE p
SPACE HTRS. STA.APP.I+/s N.P.MAX.) ,6O
LICENSE NO. p J
MOTORS: OVER NOT OVER_ H.P. DISTRICT NO. G PR E B
O 1 1.00
3 1.50 t /� I/NS.PygECTIOyJN, RECORD
3 -8 2.00 !/ C:! /// .h•Y! � f� P if� 1 -
6 15 2.50
15 SO 3.00
50 100 5.00
! x O
No.TRANS _ I'
SIGNS. NO.LAMPS31,7,-716 UJ
d
SERVICE 0.60OV-NOT OVER 200A f 1.00 GnZL,T c '" N
_Z
SERVICE 0-60OV-OVER 200 A. 2:00
SERVICE OVER 600V 5.00
M 1 SC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT T !J
WITH ALL COUNTY ORDINANCES AND STATE-LAWS REGULATING.
ELECTRICAL WIRING. WIRING s /11/� .• �7`�.�^ ?
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR: �'^"
LICENSED AS REQUIRED BY LOS-ANGELES COUNTY AND TATE OF FIXTURES
CALIFORNIA OR THAT i A THE LEGAL OWNER OF ABOVE. - •F ✓' v'
DESCRIBED RESIDENTIA STY. ♦ POWER
SIGNATURE r UTILITY CO.NOTIFIED
OF PERMITTE
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FINAL
LIDATION AR H R C. VEIT
CK. MO CASH SUPERVISING ELECTRICAL ENGINEER
8 8- 4 3 DEC 2-7 2' D , 2 5.6,0,-
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