HomeMy Public PortalAbout6160 OAK AVE_Electrical__ SASSS-CESOS 10_62 APPLICATION FOR ELECTRI AL PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �y
BUILDING AND SAFETY DIVISION ADDRESS 46 4&
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
REcEPr. TOTALNO. EACH FEE A(Zy
OUTLkTS FIRST20
h $.2O ffi v OWNER 6 i
LIGHT / /�' MAIL
SWITCH. ADD'L /je ADDRESS
OVER ZO .1O 9W
TOTAL /t1 CITY TEL.NO.
LIGHTING �� FIRST ZO 20 V
FIXTURES ADD'L .10ELECTRICIANR.i
iii777 OVER ZO
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 8923 E. Broadway
Gso�1 STA.COO
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(Va H.P.MAX.) .50 LICENSE NO. 17898
MOTORS: OVER NOT OVER H.P. DISTRICT NQ. GROUP I ZONE -IrlrESSED B
O 1 1.00 .•��
1 a 1.50 INSPECTION RECORD
8 B 2.00
n.
8 15 2.50 8
Is so 3.00
so foo 5.00
SIGNSt NO.TRANS.
NO.LAMP9 06
SERVICE 0.600V-NOT OVER 200A 1.00
SERVICE 0-60OV-0VER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 O
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE ffi o
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECT6WS 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 I AM PROPERLY rST AND/OR ,,..++��,,,, �.•ice
LICENSED AS REQUIRED Y LOS ANGE CO TY N STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE O R THE ABOVE
DESCRIBED ENT PROOF POWER
SIGNATOR UTILITY CO.NOTIFIED r1' . �i:,���� `
OF PERMITT
�LIDATICIN ART/ Uri C. VjIEiT
MO CASH SUPERVISING ELECTRICAL ENGINEER
LACo 4 4 9 4-0 JAN 15 2 0 15.40-
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