HomeMy Public PortalAbout5320 PAL MAL AVE_Electrical__ APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION
Appagig
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAMA JENSEN SUPTOFBUIWING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERbRT FEES CROSS ST
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V.— Y ao INSPECTION RECORD
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a— in Igo
Is— DO 250
50-200 500
SIGNS no TRANS
NO LAM"
SERVICE 0-600V 100
SERVICE OVER e00V 500
MISC
WIRING PERMIT 100
FIXTURE PERMIT too
SUPPLEMENTARY PERMIT a0
TOTAL FEE f
1 H""Y ACIMOWLEDGt THAT I RAW READ THIS AP [Q&TIOM APPROVALS DAT[ INERCTOR S SIGNATURE
AND STATE THAT THE ABOVt IS CORRECT AND AOR. TO COMPLY
WITH ALL COUNTY ORDINAMCII AND STAT[ "" REGULATING CONDUIT
K"CT]tICAL WIRING
1 HMMY CERTIFY T 1 AM IR I. OI ND/OR WIRING
LICENSSD AS RSGUIRID LOS AMO[ T[ OI FIXTURES C 11,01U`U OR AT THE LSO O P ABOVE
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APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOB ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS
3 2-
JOHN A LAMBIE,COUNTY ENGIN-IR
WILLIAM A JENBEN SUPTOF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEARSEST h �.
PIT FEES OWNER
1 T K Y
"MBERI EACX FR MAIL
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U GHTS RECEPT SW • 10 + ADDRESS
LIGHTING FIXTURES 1p
DLO DAYmI3 ELECTRICIAN
WATER HEATERG BO ADDRFSS
IUAC SPACE HTRS DISHWASHa110 CRY LT TEL NO
GARBAGE DIBPOSEHD AUTO STATE
WASHERS BTA COOKING UNITS EB LICENSE NO
MOTORS OYER INa X P DISTRICT NO I GROUP ZONEPR ESSED Y
0 — u EB �S '41
Y. — E BD INSPECTION RECORD
2 — B 100
B — 115 too O
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16 — BO 250 Dc
OF
50 — zoo 500 V
Wyy
BIONS No LAMPS N
3
SERVICE O.BOOV 1 00
SERVICE OVER BOOV B 00
MISC
WIRING PERMIT F 1 00
FIXTURE PERMIT 1 OO
SUPPLEMENTARY PERMIT 8p
TOTAL FEE J�A�
1HGEBYACKNOWLEOOE THAT 1 HAVE KEAD THIS LFIXTURES
ROVALS DATE INGP[CTOR S SIGNAWRE
AND STATE THAT THE ABOVE 1E CORRECT AND AORBEWITH ALL COUNTY ORDINANCES AND STAT[ IAWB WIRING 1 NEARBY CEITTNY YHAT I AM P11OP6HLY REOISTEIJCENSKD AB REQUIRED BY LOS ANGELES COUNTY ACALIFORNIA ORTHAT I AM YHE LEGAL OWNS- OF
DESCRIBED RE8IDENTIA PROPERTY SIGNATURE CO NOTIFIED
OF PERMITTER
ATION ARTHURC VETT
YO OASM SUPERVIHING ELECTRICAL ENGINI[R
i_ LACo7 5 £ 5 0 _OCT 13 2 D 1 .25 `=
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