HomeMy Public PortalAbout5709 PRIMROSE AVE_Electrical__ `" ����OLE, CITU
76AS63-CE606 S-62 APPLICATION FOR EUCTRI•CAL PERMIT
I COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING �J
BUILDING AND SAFETY DIVISION -ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL 1N CROSS..ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 / $.20 >$ OWNER `
LIGHT ! MAIL
SWITCH. OVER
2 2-O _
/v 10 ADDRESS-.
J� � '
TOTAL O CITY TEL. O.
LIGHTING 1 F1Rsr 20 � .20
FIXTURES 1 ADD'L
0
ov R 2 .10 ELECTRICIAN
RANGES CLO.D YERS WTR.HTRS. 1.00 •ADDRESS r
GARB.DISK 6TA.COOK -
CITY TEL.NO.
DISHWASH. AUTO.-WASH.
STATE �J/ e /a
SPACE HTRB: BTA.APP.(Vs H.P.MAX.) .SO LICENSE NO. ,. /.o
MOTORSi OVER NOT OVER H.P. DISTRI T G P NE', P. SSED-BY
. 1 1.00 (/
i
1 s 1.50 INSPECTION RECORD
8 e 2.00 Al�.
8 15 2.50 -
H:t.Cil
15 SO 5 w44 uh
.00 " r_ p a
50 100 5.00 At. O
SIGNS. p
NO.TRANS.•
NO.LAMPS ov., ` O
~
SERVICE 0.600V-NOT OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00 O
SUPPLEMENTAFtYPERMIT ISSUING FEE 1.00
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT 1 HAVE READTHIS APPLICATION ' APPROVALS DATE INSPECTOR'S SIGNATURE
AND
STATE THAT THE ABOVE 18 CORRECT AND AGREE TO'COMPLY CONDUIT
WITH ALL
STATIC.
ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING d (V'��
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR � '���-tP
LICENSED•AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 'r•,� /_. ✓' r)ff,�
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE •�
DESCRIBED RESIDENTIA P POWER
SIGNATURE r UTILITY CO.NOTIFIED' /p! :
OF PERMITTE
FINAL t/, f� ��lij r .J Y;-�s`�• r'f✓
LIDATION is- ARTHUR'C. VEIT t"
MO CASH SUPERVISING ELECTRICAL ENGINEER
L}ALo`6 1 2 3 NOV 2 3 2 D 8.2 0~ �`