HomeMy Public PortalAbout5616 MCCULLOCH AVE_Electrical__ 76A66C-GE#'806 5-61 �•
APPLICATION FOR ELECTRICAL PERMIT- u
COUNTY'OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 5Kzv
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR.APPLICANT TO FILL IN
CROSS ST. C C
PERMIT FEES OWNER
I T E MH EACH FEE MAIL -
ADDRESS
OUTLETS �3 S S
&VECEPT.
f0
. CITY TEL.NO.
LIGHTING.FIXTURES 10
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .SO ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL NO. /
GARBAGE DISPOSERS AUTO.-. STATE
WASHERS STA.COOKING UNITS .25 IQ
LICENSE NO. d
MOTORS: OVER INC. H.P. DIS ICT NO. GROUPZ PR SED BY
0— Ids ' 28
'/a— 2 .50 INSPECTION RECORD
2— 5 1.00
O
5— 15 1.50 u
15— 50 2.80 0
0
SO— 200
8.00 W
SIGNS: NO TRANS. IL
NO.LAMPS N
SERVICE 0=60GV 1.00
SERVICE-OVER 6004 5.00
M ISC.
WIRING PERMIT 1.00 d
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .SO
TOTAL FEE S
i HEREBY ACKNOWLEDGE THAT 1 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. WIRING
1 HEREBY 'CERTIFY THAT 1 AM PROPERLY •REGISTERED AND[ORi
LICENSED.AS REQUIRED BY LOS ANGELES C Y AND STATE OF FIXTURES ,a 'J7 �-
CALIFORNIA OR THAT '1 AM TH EGAL WNER F ABOVE ¢ - r
DESCRIBED RESIDEN OP POWER /!.tl' 11 syn .J /,.
_
SIGNATURE UTILITY CO.NOTIFIED J1AA) ��C. ?,�`.tr//!)k y
OF PERMITTE r
FINAL ✓.;r
IDATION, AhtHUR C.VETT
CK Mo: casx SUPERVISING ELECTRICAL ENGINEER
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