HomeMy Public PortalAbout5417 MCCULLOCH AVE_Electrical__ 76A66S-CE81%.A,88, APPLICATION FOR ELECT.RI AL PER
COUNTY-OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS.- /7 Cu �.G
JOHN-.,A. LAMBIE, COUNTY ENGINEER /J
MOLLIAM A.JENSEN,SUPT OF BUILDING LOCALITY -
NEAREST
FOR APPLICANT TO FILL IN JCROSIIST.
RECEPT. TOTAL NO._:EACH FEE
OUTLETS. FIRST 20 ;2O $ OWNER A�
LIGHT MAIL
ADD'L 10
ADDRESS_. Cge
'VC
SWITCH. OVER 20'
LIGHTING TOTAL FIRST 20�' .20 / &go CITY
FIXTURES AOD'L .1O ELECTRI.CI N ®u/
OVIER 20
RANGES CLO.DRTERB _ WTR.HTR_G. 1.00 ADDRESS
GARB.DISP. BTA.COOK
CITY .TEL.NO.
DISHWASH.. AUTO:-WASH. STATE
BPACE.HTRB. BTA.APP.('!a X.P.MAX.) ,50
LICENSENO.
MOTORS, OVER NOT OVER •H.P. DISTRICT.N . GROUP ZONE •P E D
O 1 1.00 .!
.97
1 a 1.50 INs CTION RECORD
S S 2.00 _ s^ d
"L O
V
1s so s.0o.; " or
O
so foo' 5.00 24.
SIGNSs NO.TRANS. d
NO.LAMPS Z
SERVICE 0-60oV-NOT OVER 200A 1.00 OD I r
SERVICE 0=600V-OVER 200 A. 2:00
SERVICE OVER 6oOV 5.00
MISC. ♦ -
PERMIT ISSUING FEE 2.00 OO B"
_ ..alp..
SUPPLEMENTASY PERMIT ISSUING FEE 1.00
TOTAL FEE S _
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'8 SIGNATURE'
AND STATE.THAT THE ABOVE IS CORRECT AND AGREE TO.COMPLY CONDUIT
WITH ALL-COUNTY ORDINANCES-AND STATE LAWS REGULATING.
ELECTRICAL WIRING. WIRING /"-I-lb
1. HEREQY CERTIFY THAT 1 AM PROPERLY REGIBTBRFlD AND/OR -
LICENSED AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF FIXTURES.
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER. OF THE ABOVE _
DESCRIBED REBIDENTIAL.PROPERTY. POWER
SIGNATURE UTILITY CO:NOTIFIED I A.
OF PERMITTE 1 j; ✓
FINAL ,.1^' . .'
IDATION ARTHUR C. VETT
MO' CASH SUPERVISING ELECTRICAL ENGINEER
Clyl/Mo 7 5 5%0 SEP 15 2 D 7.00N