HomeMy Public PortalAbout5211 PAL MAL AVE_Electrical__ 1AG69-CEBOG 10-51 APPLICATION FOR ELECTRICAL PORMIT
COUNTY.OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 2/ �AL$ Li
JOHN A. LAMBIE. COUNTY ENGINEER :-
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY n P PLE d i r
NEAREST ^
FOR APPLICANT TO FILL IN CROSS ST.
I T E M O. .EACH FE d c+
OUTLETS: FIRST 20) $!O $ OWNER
LIGHTS RECEPT. SW. f MAIL
OUTLETS: (ADD+L UNITS) t0 ADDRESS
LIGHTS RECEPT. SW.
LIGHTING FIXTURES: (FIRST 20) to
CITY TEL.NO.
LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN 11_11 ,451-if
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 6 CSol `'
GARB.DISP. STA.COOK CITY •�FV L TEL.NO. /y f!I d d
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(f/s H.P.MAX.) .50 LICENSE NO. !IL ( s v
MOTORS: OVER NOT OVER H.P. 'b DISTRICT NO. OU ZONE PRO E 08
O 1
1 s 1.50 - INSPECTION RECORD ,
` QO
s S 2.00 c �. , �I it r� ..Alm
8 is 2.50 ..,,,A U
a
Is so 3.00 t* �O
50 ;100 5.00 W
c.
SIGNS: NO.TRANS. N
NO.LAMPS Z
SERVICE 0-000V-Nor OVER 200A 1.00
SERVICE O-000V-OVER 200 A. 2.00
SERVICE OVER GOOV 5.00
MISC. -
PERMIT ISSUING FEE 2.00 QQ
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICA ION APPROVALS ^�! //J DATE/ INSPECTOR'S SIGNAT.ORE
AND STATE THAT THE ABOVE IS CORRECT'AND AGREE TO COMPLY CONDUIT J QL.r� /E �o�"'
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _
ELECTRICAL WIRING. WIRING I 1 A'' _/ •d`�, ^-: - ,
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR b!M '•. �-'' ,- r."�/
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND,STATE OF FIXTURES B J �� .�•'
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PR E Y. y POWER
SIGNATURE UTILITY CO.NOTIFIED ,��rr
OF PERMITTEE FINAL 7 MId
LIDATION ARTHUR C. VEIT
(F-KMO' CASH SUPERVISING ELECTRICAL ENGINEER
LV. � ` l0
�`'n- 8 4 G 1 0 2.90
6A668,CEB0610.61 APPLICATION FO'R ELkC RICAL -PEWIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER fADDRESS
UILDING 1L Mq�L
BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER - Aw / ` �/WILLIAM A.JENSEN,SUPT OF BUILDING OCALITY �iv'P,4 r7EARESTFOR APPLICANT TO FILL IN ROSS ST.
I T E M NO. EACH FEE C �+
OUTLETS: (FIRST 20) $2O $ OWNER G T J
LIGHTS RECEPT. 'SW. _ MAIL
OUTLETS& (•ADD'L UNITS) .f0 ADDRESS
LIGHTS RECEPT. SW.
LIGHTING FIXTURES: (FIRST 20) 2O CITY TEL.NO.
LIGHTING FIXTURES& (ADDITIONAL) .10 ELECTRICIAN113yY RANGES CLO.DRYERS WTI.HTRS. 1.00 ADDRESSA`3GARB.DI8P. STA.COOKCITY 0,�JA/41k TEL.NO. QQ/!/1 if O
DISHWASH. AUTO.-WASH.. STATE'
LICENSENO.SPACE HTRS. STA.APP.(Va X.P.MAX.) .5OMOTORS: OVER_ NOT OVER H.P. DIST CT O. OUP Z IE P ESSED
O 1 1.00 _
1 s 1.50 INSPECTION RECORD }
a
s S 2.00 O
8 15 2.50
V
15 50 8.00 W
50 100 1 15.00
a
SIGNS& NO.TRANS. h
NO.LAMPS
SERVICE 0-600V:NgT OVER 200A, 1.00 1J®.
SERVICE 0-SOOV-OVER 200 A. 2.00
SERVICE.OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE. 1.00
TOTAL -FEE .$3
1 HEREBY ACKNOWLEDGE THAT 1 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. i4IRING A'�
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR !
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES l
CALIFORNIA OR THAT I AM TIS LEGAL .OWNER OF THE ABOVE
.DESCRIBED RESIDENTIAL PROP P97P POWER _
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE
VALIDATION ARTHUR C. VEIT' °'•"
MO CASH SUPERVISING ELECTRICAL ENGINEER
L'3. -72 In
;r
f •
/41
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