HomeMy Public PortalAbout5654 MCCULLOCH AVE_Electrical__ 76A663-CE606 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES.
DEPARTMENT OF COUNTY.ENGINEER FAR'LE"El'.
G
BUILDING.AND SAFETY DIVISION S
JOHN A. LAMBIE, COUNTY ENGINEER
_WILLIAM A.JENSEN,SUPT OF BUILDING Y
TFOR APPLICANT TO FILL IN ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20. $2O $ OWNER
.
LIGHT MAIL
ADD'L
SWITCH. 10 ADDRESS
OVER 20
LIGHTING TOTAL FIRST 20 .20 CITY
FIXTURES ADD'L
O V R 2 0 .10 ELECTRICIAN
111
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK ti CITY TEL.NO.
t
DIaNWASH. AUTO.-WASH. _ STATE
SPACE NIRS. BTA.APP.(Va N.P.MAX.) .50 LICENSE NO. 'I
MOTORS. OVER NOT OVER H.P. DISTRICT NO. G E WPnp D B
O 1 1.00
1 3 11.50 " INSPECTION RECORD
s s 2.00
8 Is 2.50
Is 50 3.00 a
50 100 5.00 0
NO:TRANS. - w
61GNBe NO.LAMPS �0
SERVICE 0.600V-NOT OVER 200A 1.00 y l
SERVICE O-SOOV-OVER 200 A. 2.00 P A N E-LSI' Z
SERVICE OVER 600V 5.00
MISC. r e /"1 I z /
Go LO J 1
r _
I S A- ¢ �.
PERMIT ISSUING FEE 2.00 .r A
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 ..rte
oat J
TOTAL FEE 8
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 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 LOB ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE _
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE FINAL
ALI.DAT� ARTHUR C. VEI
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
l'o2 9 0 2 AUG 20 2 D 3.00- 4