HomeMy Public PortalAbout6105 LOMA AVE_Electrical__ 76A663-CE606,0-69 APPLICATION FOR :ELECTRIC PERMIT ..�K
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
' BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF'BUILDING LOCALITY J
FOR APPLICANT TO FILL IN ' NEAREST
PERMIT FEES CROSS ST. G7C/ri
6•/ �.Gi
ITEM NUMBER OWNER EACH FEE
OUTLETS: $ $ MAILADDRESS
LIGHTS RECEPT. SW. to
LIGHTING FIXTURES1O CITY TEL.NO./46-
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS G"C
ELEC.SPACE HTRS. DISHWASHERS
' CITY / TEL. NO. � S~
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS .25 LICENSE N
MOTORS: OVER INC. H.P. DISTRICT NO. I O P ZONE I PROCESSED BY
O— I/2 .25
1/2— 2 .50 INSPECTION RE/CO
2— s 1.00 ��`�✓�!3` �i� �,� ,rte - /a .�`
5— 15 1.50 / / l� /
ld.L�l1 r� yep e bv+ /// dt C '
15— 50 2.50 r/ >
50=200 5.00 eq A/{
SIGNS: NO.TRANS. ,
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC. ,.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ �-
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS - DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. 17 / 6/G/ vvl 1-vvi-tFi1.c�'�
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE - -
DESCRIBED RESID AL OPE Y. POWER
SIGNATURE UTILITY CO.NOTIFIED f, ..�n�/n,
OF PE E FINAL
®F VALIDAT ARTHUR C.VEIT,
CK MO wsH SUPERVISING ELECTRICAL ENGINEER
a o 9 2 a 5 4 2 A .G E