HomeMy Public PortalAbout5515 1/2 PAL MAL AVE_Electrical__ -`E°°°'-°° APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS !
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST ! /!
PERMIT FEES CROSS ST. CIL f u L�
ITEM NUMBER I EACH FEE OWNER
OUTLE 5 MAIL
LIGHT9 RECEPT. BW. IJ ,fO O ADDRESS
LIGHTING FIXTURES �� 10 -fin CITY TEL.NO.
ELEC.RANGES CLO.ORYERS ELECTRICIAN
WATER HEATERS .SO ADDRESS / �I __
ELEC.SPACE
�H'TRS.`DISHWASHERS CITY TEL. NO.
ARBG AGE DISPOSEAUTO..
" STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. I - I Z _ '( 1 D /
DISTRI TNG. GROUP ONE PROCESSED BY
O— I/ 25
1/— 2 .50 INSPECTION RECORD
2— 5 1.00
s— 1s 25 'fAlL U ED ('� oc. - L
is— so 2.50
50-200 5.00 Nem' r LV yry
SIGNS: NO.TRANS.
a
NO.LAMPS
SERVICE 0-500V 1.00
SERVICE OVER SOOV 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE S
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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING --
LICENSED AS REOU]RED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM T LEGAL OF THE ABOVE
DESCRIBED RE8IDENTIAI PRO TY. POWER p
SIGNATURE C� /� UTILITY CO.NOTIFIED .�
OF PERMITTE
FINAL
®° DATION ARTHUR C.VElT,
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L4�04 :) 3 1g� PSC �1 2 A $.10 r