HomeMy Public PortalAbout6319 PRIMROSE AVE_Electrical__ IA663-CE606 5-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION AD13RF-88
JOHN A. LAMBIE, COUNTY ENGINEER /
WILLIAM A.JENSEN,.SUPT OF BUILDING LOCALITY JL,
AREST
EJ'
OR APPLICANT TO FILL IN NCROss 8T. q,- _
RECEPT. TOTAL NO. :EACH FEE / `
OUTLETS FIRST 20 o $20 s Q O OWNER.jjd 91,
LIGHT
SWITCH.f;�j OVER 20 .10 ADDRESS'
LIGHTINGF_T/OT��
FIRST 20 .EO 0 CITY TEL.NO.
FIXTURES oV 0e 20 .10 ELECTRICIAN / S ~
/}d
RANGES CLO.DRYERS k WTR.HTRB. 1.00 Q Q ADDR BB
GARB.DISP. `STA.COOK ((��`` (({{
CITY (Lalli!. TEL.NO. d
DlaxwABH. /N AUTO.-WASH. L� STATE
SPACE HTRS. BTA.APP.(Vs H.P.MAX.) 9 .SO O LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP&NES?M=—ESED BY
O 1 1.00
1 a 1.50 INSPECTION RECORD
a S 2.00
A
D /
8 15 2.60 O
f8 50 3.00 ° U
SO 100. 5.00
O
SIGNS: NO.TRANS- F-
NO.LAMPS W
D_
SERVICE 0.000V-Nor ovER 200A 1.00 60 In
Z
SERVICE 0-000V-OVER 200 A. 2.00
SERVICE OVER GOOV 5.00
MISC.
PERMIT ISSUING FEE 2.00 Q
SUPPLEMENTAPY PERMIT ISSUING FEE 1.00
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS I DATA INSPECTOR'S B 0HATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. - •WIRING f-•
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR - I
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RE8IDENTI?L,PROPS POWER y
SIGNATURE / i UTILITY CO.NOTIFIED I
OF PERMITTER / / `� , ,c,It, 'I'L
FINAL -I
V LIDATIQN. AR U c. VEI`r
CK MO CASK SUPERVISING ELECTRICAL ENGINEER
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