HomeMy Public PortalAbout5614 PAL MAL AVE_Electrical__ APPLICATION FOR ELECTRIC PERMIT / 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEEReU1LDINa /
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENa1NEER
CAIMATTO GRIFFIN Yuri Ol auILDIXG LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERb= FIM CROSS ST
ITEM NUMSEN I EACH PCE MAIL
OUTLET • s ADDRESS .000
LIGHTS R¢CEPT 6W 10
LIGHTING FIXTURES 4& tO CITY TEL NO
ELEC RANGE CLO DRY¢RE ELECTRICIAN �D
WATER HEATERS 00 ADDRESS
R[G EPAC¢HTRE DUYIWAEH¢NS CITYA14L NO
GARBAGE DIE KNNI AUTO•
STATE
WASHER[ WA COOKING UNIT[ Ea LICENSENO
MOTORS OVER IXC XP 1 PR
qCESSED Ell
O— V. sa
'A— E Do INSPECTION BECO
2— a 1DO - t 2. 6
a— 1D 150 T r �q nio7
is— 50 250
ob—zoo aoo
SIGNS No TRANS
No LAYPY
SERVICE 0-000V 100
SERVICE OVER DOOV DOO
MISC.
WIRING PERMIT 100 QD
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT DO A NC L
TOTAL FEE Is O
1 HER<eY ACIOIOWLEOGE THAT 1 HAV¢ READ THIS APPLICATION APPROVALS DATE INSPECTOR Y MONATURE
AND STAT[ THAT THE ABOVE IS CORR¢CT AND AGR[[ TO CONPLY
WRH ALL COUNTY ORDINANCES AND YTATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING
1 XER[EY CERTIFY THAT 1 AN PROP Y REOISTQED ANO/OR WIRING /—�- ���
LICENEm All REOUIRm EY LOS ANG[ COUNTY AND STAT[ OF FIXTURES
CALIFORNIA OR THAT 1 AY THE LEGAL OWNDi OP THi AEOV[
D[uRIR® REEIDRI l" PROPERTY POWER
SIGNATURE UTILITYCO NOTIFIED �✓ n
OF PERMITTE
�T ATION gRTHURC VEIT.
ai YO a uPXRVISING CAL ENGINEER
r 9040M; �'C31 2 A 680
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