HomeMy Public PortalAbout5515 PAL MAL AVE_Electrical__ APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING i,
BUILDING AND SAFETY DIVISION ADDRESS _
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY l
421C 2�
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
ITEM NUMBERI EACH FEC OWNER
OUTLE $ $ MAIL
LIGHTS
RECEIPT. BW. 10 Q ADDRESS
LIGHTING FIXTURES10 CITY TEL.NO.
ELIC.RANGES DLO.DRYERS ELECTRICIAN _
WATER HEATERS .50 ADDRESS /i O
ELEC.SPACE HTRI. DISHWASHERS CITY 4_ TEL NO.
GARBAGE DISPOSERS AUTO: STATE /
WASHING RA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT NO. G UP ZON42 A E P BY
O— 4E .25 i �
ss— 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 5o 2.50
50—200 5.00
NO.TRANS. ~I /
SIGNS: NO.LAMPS -Pop '. fr0 iF IFTT Js l� °
SERVICE O-SOOV 1.00 'A'
SERVICE OVER GOOV 5.00
MISC.
WIRINGPERMIT 1.00 �/� �J S
FIXTURE PERMIT 1.00 _. C
SUPPLEMENTARY PERMIT .50.
TOTAL FEE $ 19 i o 7 I
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND MATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING �� 7 `V t V'Y
LICENSED AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF FIXTURES II- 7 O h • 'I ----
CALIFORNIA OR THAT 1 AM THE AmaAL OWN F T OVE
DESCRIBED RESIDENTIAL HOPE POWER
SIGNATURE L UTILITY CO.NOT]FIED
OF PERM ITTE
FlNAL r L
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VFIAfRICAL ENGINEER
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APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER NGBUILDING AND SAFETY DIVISION
[A",DDUUDRESS
JOHN A. LAMBIE, COUNTY ENGINEERCASSATT D. GRIFFIN,SUPT OF BUILDING LCALITY
FOR APPLICANT TO FILL IN NEAREST {%
PERMIT FEES CROSS ST.
ITEM NUMBER I EACH FEC OWNER
OUTLE£51 ,7-D 6 S MAIL
L16HTS RECEPT. - SW. ADDRESS
LIGHT NG FIXTURES f0 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS '-
ELEC.SPACEHTRS. DISHWASHERS CITY TEL. NO. Q'
'ii
SAGE DIB�SE AUTO.- STATE
WAEHBRE STA.COOKING UNITS .25 LICENSE NO. 70
MOTORS: OVER INC. H.P. DISTRI T NO. IGROUPI iiPR SED,
O— IA .25 :` 1 J '.,, -e Y"`
vE— 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
ta— so 2.50
50-200 5.00 c�r�L ryu c D �NpcK -
U
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE O-SOOV 1.00
SERVICE OVER SOOV 5.00 Y - ,�/- _ C 7 e" p y
MISC. may, Qti vJ _
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 Q
SUPPLEMENTARY PERMIT .50
TOTAL FEE S
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAPPROVALS DATE INSPRCTOR-5 e1 GNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT A,
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPKRLY ERED ANO/OR _
LICENSED A8 REOUIRED BY LOS A DELES UNT AND AT OF FIXTURES ` YG— G a /` L y..
CALIFORNIA OR THAT I AM THE EGAL OWNER OF ABDV
DESCRIBED RESIDENTI 'rnito POWER
SIGNATURE IFIED
OF PERMITTE
FINAL
®F A DATION ARTHUR C.VEIT,
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
Co4 Da� 0 •r DEC ? 1 2 A T 8..10 r