HomeMy Public PortalAbout5612 PAL MAL AVE_Electrical__ TSASSSCESGS1f " 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 GUI Or BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
ROSS
PERM FEES
ST
ITEM NUMBER EACH PEE OWNER
OUTL f f MAIL
LIGHTS RECEPr Sw 10 ADDRESS
LIGHTING FIXTURES 10CITY TEL NO
EL[C RANGES CLO DRYERS ELECTRICIAN
WATER HEATERS BO ADDRESS
AC[HT DISHWASHERS
CITY TEL NO S
06 DIEROG AUTO-
//�� STATE
WASNRB ETA COOKING UNITS 20 6/ I E
MOTORS OVER INC Hp I I O GR
rNF- v SED BY
O— V. 26
V, 2 Bo INSPECTION RECORD
2— B 100
B— IB 1 BO
16— BO 250
BO-200 BOO
SIGNS NO TRANS
NO LAMPS
SERVICE 0-000V 1 00
SERVICE OVER GOOV GJTOWMMY
MISC
WIRING PERMIT 1 0 -
FIXTURE PERMIT 1 0SUPPLEMENTARY PERMIT TOTAL FEE O APPROVALS1 HERESY ACKNOWLEDGE THAT 1 HAVE READICATION DATE INSPECTOR S SIGNATURE
DSTATE THAT THE ABOVE IS CORRECT AND COMPLYWITH ALL COUNTY ORDINANCES AND STATE ULATING CONDUITELECTRICAL WIRING1 HERESY CERTIFY THAT 1 AM PROPERLY REANO/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNATE OP FIXTURESCALI PORN IA OR THAT 1 AM THE LEGAL OWNE [ ABOVEDESCRIBED RESIDENTIAL ROPOWER
SIGNATURE UTILITY CO NOTIFIED--TQ
OF PERMITTE
0T FIN-
Xl4L� SUPERVISING ELEICTRICAL ENGINEER
cK r0o CASH CASH
M1 2 4 2$t AUG 14 2A 7QQ 3 0 ?Z