HomeMy Public PortalAbout6322 PRIMROSE AVE_Electrical__ SA668_CE606 6_62 - APPLICATION FOR ELECTRICAL ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FN
ILDING
BUILDING AND SAFETY DIVISION DRESS r
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING CALITY
ARESTOR APPLICANT TO FILL IN OSS ST.. (_
RECEPT. ) TOTAL NO. EACH FEE I
LIGHT OUTLETS FIRST 2O Ig 20 $ .d OI MAL ER 19
ADD ADDRESS
SWITCH./ R C OVER 20 •1O '
CITY TEL.NO.
TOTAL
LIGHTING 1 FIRST 20 .20 *�
FIXTURES 1 Ann-i- 1O ELECTRICIAN JG R�CXJIA�
DVER 20
RANGES CLO.DRYERS ' WTR.HTRS. 1.00 [ADDREISS C'� .1C /d'++�0"1�. . • >'�.. '
GARB.DISP. STA.COOK RR.►
CITY i ��Cti SJ�((1zC3v-TEL.NO.E,1 Fc,
DISHWASH.%' AUTO.-WASH. STATE
SPACE HTRS STA.APP.(Vs H.P.I4.X .50 LICENSE NO. 3
MOTORS OVER NOT OVER H.P. DISTRICT NO. 17R -P I PIE E
-0 1 1.00 Otr
1 a 1.50 INSPECTION RECORD
s S 2.00
8 15 2.50 a0
15 so 5.00 U
so 100 5.00
O
- 1—
SIGNSe NO.TRANS. W
NO.LAMPS
• a
SERVICE O•SOOV•Ncr OVER 200A 1.00 a Z
SERVICE O-SOOV-OVER 200 A. 2.00
SERVICE OVER SOOV 5.00
MISC.
PERMIT ISSUING FEE 2.00oc
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES f
CALIFORNIA OR THAT 1 AM THE AL OWNER OF THE V ' POWER r
DESCRIBED RESI:77
PR
SIGNATURE UTILITY CO.NOTIFIED j� 1 •/-.. /�/�.n
OF PERMI
TFINAL ��1 � .✓'may{!✓ �'�
LIDATION UPE V R C. VETT
SPE
MO CASH SUVIBING ELECTRICAL ENGINEER
LQ 3 6 6 5% AUG 2 9 2 D 19-3 QN 4