HomeMy Public PortalAbout10203 LA ROSA DR_Electrical__ 7CA613-CE80610-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER aUILD1NG
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER -
WILLIAM A. JENSEN. $UP'T OF BUILDNG LOCALITY
NEAREST
F
OR APPLICANT TO FILL IN - eeoss sr.TOTAL NO, EACH FEE
OUTLETS FINsT-20 S20S OWNER
` MAIL, ABB'L ADDRESS
O2O .1D
TOTAL CITY - TEL. O.
nRST 20 .20 ADD'L t0 - ELECTRICIAN
OVER,2O {.p_
RANGES CLO.DRYERS WTI.HTRS. 1.00 ADDRESS L,.r ,!
GARB.DISP. STA..COOK
OI Y L. NO.
DI6HWg3H. AUTO.-WASH. --STAYE '
SPACE HTRS. STA.APP.1'/z H.P.MAX) ,50 LICENSE N Q!
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PROCESSED BY
i a 1.50 INSPECTION RECORD
"s — a 2.00 a
B — is 2.501 1
15 50 3.00 Q
SO 100 5.00
SIGNS: NO.TRANS. - IILJ
d
NO.LAMPS N
SERVICE 0-60OV-NOT OVER 200A 1.00 '
SERVICE O.600V-OVER 200 A. 2.00 -
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 "
TOTAL FEE S
IH
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION L APPROVALS DATE INSPECTOR'S SIGNATURE
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE.TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT'1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I A THE LEGAL OWNER OF'Tl, ABOV
DESCRIBED flESIDENTIAL EBBwy.IPOWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL' e
A IDATION ARTHUR C. VEIT (j
-J -
CK ID CASH SUPERVISING ELECTRICAL ENGINEER
�2 9 1 2G AUG21 2 D 2.40co