HomeMy Public PortalAbout5008 PAL MAL AVE_Electrical__ "am-e¢ace a-ee APPLICATION FOR ELECTRIC PER loll I T 1
COUNTY OF LOS ANGELES on
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 00 It
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALI
FOR APPLICANT TO FILL IN NEAREST
PERMIT "ER CROSS ST.
ITEM NUMBER I EACH FEE OWNER
OUTLET $ $ ^� MAIL
OF
LIGHTS RECEFT. SW. .10 OwADDRESS
LIGHTING FIXTURES 10 oL/AA CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIA
WATER HEATERS .50 1 ADDRE
ELEC.SPACE HTRS DISHWASHERS CI L-NO.
GARBAGE DISPOSERS` AUTO.- _ STATE
WASHERS STA.COOKING UNITS .2 .25 d LICENSE NO. l
Pdl-
MOTORS: OVER INC. H.P. D1STR1 O. GRQJ4P I ONE P OCESS BY
0— 1/a .29 .� i
va— 2 1 .50 WSPECTION BECORD
2— S 1.00
5— i5 1.50
IS-- 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-000V 1.00 ®�
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 ,90
FIXTURE PERMIT 1.00 190
SUPPLEMENTARY PERMIT .50 P'Mey` �ZylrJ E jc`, �•
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I 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 7
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED OS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT A TH LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT OPE Y. POWER /
SIGNATURE UTILITY CO.NOTIFIED O
OF PERMITTE
FINAL
9e ATION V
SUPERVISING ELEG
GASH 7RICAL ENGINEER
K Q
LAL32 3 4 7 SEP 18 2 A 7.7 0 M