HomeMy Public PortalAbout5105 PAL MAL AVE_Electrical__ 3AB68-CE80810-60 APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING'
BUILDING AND SAFETY DMSION ADDRESS
JOHN A.LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST 47
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES OWNER
I T E M NUMBER EACH FEE MAIL
OUTLETS SIC S ADDRESS
LIGHTS RECEPT. 8W CITY TEL.NO.
LIGHTING FIXTURES ,10
ELEC.RANGES CLO.DRYERS ELECTRICIAN
t
WATER HEATERS .SO ADDRESS / AIA
ELEC.SPACE HTRS. DISHWASHERS � !.
CITY GYr N
TEL O r ff D
GARBAGE DISPOSERS AUTO.- STATE
WAS14ERS STA.COOKING UNITS ,.25 LICENSE NO. ! C—/ O
MOTORS: OVER INC. H.P. DIST CT NO. I GROUP I ZONE I Y
0— 1/2 .28
1/2— 2 '.50 INSPECTION RECORD
2— s .1.00 .
Is— Is 1.130 V
oe
Is— ISO 2.50 O
50— 200 5.00
SIGNS:
NO TRANS.
+yr
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER GOOV 5.00
MISC.-
WIRING
ISC.-WIRING PERMIT 1.00 CrD
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT ,50
TOTAL FEE S
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 CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1•AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDBNT OPER .POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE FINAL
IDATION ARTHUR C.VEIT
cx •MO CASH SUPERVISING ELECTRICAL ENGINEER
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