HomeMy Public PortalAbout5610 PAL MAL AVE_Certificate of Occupancy__ 7
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1II59 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE.Coumw ENGINEER
GBBATT D GRIFFIN.SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
ss
PE MT FEES
OWNER
ITEM KUMSKRI EACH PH6
OUTLET16 MAIL
LIGHTS RECE OW 10 O ADDRESS
LIGHTING FIXTURES 10 CITY TEL NO
[LEC RANGES CLO DRYERS ELECTRICIAN O
w R HEATERS 50 ADDRESS ✓
C.SPACE DISHWASHERS Li
CITYTEL NO
MGOE DISPOS wU"fo
STATE
WASII[RS ETA COOKING UNITS 23 1EN O �✓
MOTORS OVER INC H• STRI NO GROU NE PSEE)B
O— YE 24
V,- 2 40 INSPECTION RECORD
2— D 100
4— IR 140
15— RO 1 240
40—zoo 400
SIGNS NO TRANS
NO LAM"
SERVICED OOOV 100 Apo
SERVICE OVER GOOV 500
MIBC
WIRING PERMIT too p
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 40
TOTAL FEE 3 QVFIXTUR"
APPROVALS
1 HERESY ACKNOWLEDGE THAT 1 HAVE READ;] A !CATIONDAT[ IN{FQCTOR0 SIONATUR[
AND STAT[ THAT TN[ ABOVE IS CORRECT AND AGREE TO COMFlY
WITH ALL COUNTY ORDINANCES AND STATE LAW{ REGULATING
ELECTRICAL WIRI NO
I HERESY CERTIFY THAT 1 AM MOFQRLY REGISTERED AND/OR
LICENSED AS REDUIREO SY LOS ANGELES COUNTY AND STATE OF 'Y �Y
CALIFORNIA OR THAT I AM THE LEGAL OWN[II OF TH[ ABOVE
D[SCfl1SH0 RQSID6MTIA OP Y
SIGNATURE
OF PERMITTE F NAL1 G �1 �, V..Z^"V�
m� ATION ARTHUR C VETT
cK MO CASH BUPERVIpING ELECTRICAL ENGINEER
( 124.3% AUG14 2 A 730TI
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