HomeMy Public PortalAbout10127 LA ROSA DR_Electrical__ ��E-M L L I
76A663_CE60E 5-62 '. APPLICATION FOR ELECTRICAL PERMIT .. �.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER' BUILDING
'BUILDING AND SAFETY DIVISION Y 'ADDRESS
.JOHN A. LAMBI E. COUNTY ENGINEER
�•
WILLIAM.A JENSEN,.5UP TLDF Bm LOING -w ^� COCAL•ITY •
-NEAREST � +
FORfAPPLICANT.TO.F.I L^CEll" ,' �S' 4TP .CRGSS•ST. GL/LK M'/�N' I r
RECEPT.,' 'TOTAL- '•'NOT EACH FEE
GUTLJ=T FIRST 20 /�Y 8 2O $
', 02'j OWNER
1 LIGHT. / I MAIL„
PDD L -')10 ADDRESS
,.SWITCH. � 1O—VER�20
LGHT
TOTAL- , - CITY T . NO, '
IING 1'Rsr 20 20 _
FIXTURES Z AID •L 10 , . ^ EL11 —ECTRICIA _
OVRD20
RANGE9 CLO DRYER9 WTR:HTR3. 11',00 ADDRESS
'GARB.DISPI BTA.COOK - -- /
� CITY O-Z-
DISHWASH. AUI Q-WASH, t/ / STATS
G_// ,i LICENSENO. �J 1
SPACE HTRS, BTA.APP.('/.H.P.MA%.) ,50 I '
MOTORS: OVER NOT OVER H.P. 4 DISTRICT NO. GROUP ZONE PROCESSED-3
o
1 3 t.50 INSPECTION RECORD
3 6 2.00
6' 15 12.50
n
15 50 3.00 y.+E�1 ' �/��// O
Od
50 100 6.00 A!f wz, iI!l`�. 0
NO.TRANA / 1�-� ///LLL... ww..��/Y O
SIGNS: /n � �� ,.,/j
NO.LAMPS / �) RJ. OO' 1c/P"! a
/ P y
.SERVICE 0-600V-NOT OVER 200A 1.001 1 Z
''SERV ICE 0.60OV-OVER 200 A. 2:00
SERVICE OVER 600V 5.00
'MISC.
PERMIT ISSUING FEE 2.00lob
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI AiION 'APPROVALS DATE INSPECTOR'S SIGNATURE
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ;CONDUIT: -� �J �•/t
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM T EGAL OWNER OF-THE ABOVE -
DESCRIBED RESIDE TIAL PROP Rf POWER ) Gs' • v/ A
BIGNATU RE FUTILITY CO.NOTI FIED Li'.
OF PERMITTEE may;;-r
FINAL ';7 J.)I"'�:.
ALIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING.ELECTRICAL ENGINEER
L3 X 0
2 ,1 7.'41G MR 18 2 0 1 4.60-
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