HomeMy Public PortalAbout9465 LONGDEN AVE_Electrical__ rC B08AB, PPLICATION FOR QCTRALg�IPERMIT
C 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
'NEAREST
FOR APPLICANT TO FILO.IN CROSS ST. r
1 T E M NO. EACH FEE
OUTLETS: RsT 20) E $ OWNER
LIGHTS RECEPT. BW.O` ® MAIL
OUTLETS: DD'L UNITS) .10 �j ADDRESS
LIGHTS RECEPT. SW:
LIGHTING FIXTURES: (FIRST 20) 3 '.20 CITY TEL.NO.
LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRI N
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP.CESTA.COOK CITY p TEL.]=
DISHWASH. AUTO.-WASH.
SPACE HTRS. STA.App.(Y.H.P.MAX.) %__J .50 � LICENSE NO.
MOTORS: OVER NOT OVER H.P. DI.STR T AIS?. GROUP E P ESSED BY
O f 1.00 �f
I 8 1.50 INSPECTION RECORD
8 8 2.00 D_
O
8 is 2.50 U
dx
15 so 8.00 Q
50 100 js.oO G
a
SIGNS: NO.TRANS. tq�
NO.LAMPS Z
SERVICE O-SOOV-Nor OVER 200A 1.00
SERVICE O-SOOV-OVER 200 A. 2.00 `
SERVICE OVER SOOV 5.00 -
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
l HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNAATI�J•RE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /
ELECTRICAL WIRING. WIRING
(I'(-
1
HEREBY CERTIFY THAT I .AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE ,.
DESCRIBED RESIDEHTIALY. POWERSIGNATUf ..UTILITY CO.NOTIFIE
OF PERMIIr
FINAL
^LIDATION A I.1° •C. VEIT
cls,( MO CASH SUPERVISING ELECTRICAL ENGINEER
A�
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