HomeMy Public PortalAbout10258 RANDWICK DR_Electrical__ )A663-CES06 5-62 APPLICATION FOR E.LE RICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �Q
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 OWNERLozfxw�,i
LIGHT MAIL '67m IT
ADIft .IO ADDRESS'
SWITCH. OVER 20
FIRST 20 .20
LIGHTING CITY TEL.NO.
1 TOTAL
FIXTURES 1 ADD'L OVER 20 ,10 ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRB. 1.00 ADDRESS +
Q
GARB.DISP. BTA.COOK CITY TEL.NO. 4
DISHWASH. AUTO.-WASH. STAT e�
SPACE HTRB. BTA.APP.CVa H.P.MAX.) .50 LICENSE NO. Oit
MOTORS: OVER NOT OVER H.P. DISTRICTp. GROUP ONE P SEED BY
.0, 1 1.00
1 S 1.50 C INSPECTION RECORD,
s S' 2.00 I f /
S Is 2.50
Lille .•.�11�1/. AJ 1?�ns:./ /r4 0
15 50 5.00 -i V
50 100 5.00 - O
SIGNS: NO..TRANS.• ! W
NO.LAMPS
a
to
SERVICE 0.600V-NOT OVER 200A 1.00 I Z
SERVICE 0.600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 - Q►v
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 s`
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INBP OR' SIGNATURE,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL'COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING rS
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR i
LICENSEDA8 REgU1RED BY S ELES'COUNTY AND STATE OR FIXTURES
CALIFORNIA C: THA 1 A G O HER OF THE ABOVE
DESCRIBED T PR E POWER
SIGNATURE UTILITY CO.NOTIFIED �� t a✓A y /
OF PERMITTE
FINAL Ma N 2— -�!�
eV�LIDATION ARTHUR C. '
MO CASH SUPERVISING EIEC ELECTRICAL ENGINEER
("C;l
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;A668-CE806 5-62 APPLICATION FOR E.LECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING o
BUILDING AND SAFETYDIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEERply 4
WILLIAM A.JENSEN,SUPT OF BUILDING /� LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
17 OUTLETS FIRST 20 $.2O $ OWNER
LIGHT `� MAIL
(p 1O O ADDRESS
SWITCH. OVERVER 2 2O
TOTAL CITY "WEL.NO.
LIGHTING FtiRsr 20 .20 '
FIXTURES oA L .10 ELECTRICI N
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.D19P. ! STA.COOK
I CITY TEL.NO.
D18HWASN. AUTO.-WASH. STATE '
SPACE HTRS. BTA.APP.(1/a H.P.MAX.) .50
�-� LICENSE NO.
MOTORS. OVER NOT OVER H.P DISTRICT GE R03ED j3Y
O 1 1.00 J
1 a 1.50 INSPECTION RECORD
S a 2.00
8 is 2.50 a
is so 3.00 O
• V
50 100 5.00
_ O
SIGNSs NO.TRANS. V
NO.LAMPS
W
D.
SERVICE 0.600V-Nor OVER 200A 1.00 Z
SERVICE O-SOOV-OVER 200 A. .2.00 _
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTASY PERMIT ISSUING FEE 1.00
TOTAL FEE is
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI TION APPROVALS DATE IMSPECTOR'S SIGNATURE
AMD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL-COUNTY ORDINANCES•AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING / r, F. -' �•
1 HEREBY•CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY L08 ANGBLE9UNTY AND STATE OF FIXTURES ((//
CALIFORNIA OR THAT I AM THE LEGAL ER F TH ABOVE "
DESCRIBED RESIDENTIAL PR E POWER I
2
SIGNATURE UTILITY CO.NOTIFIED u J
OF PERMITTEE
FINAL
LIDATION A FtVH OR C. VETT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
UiW 9 2 8 9 JAW 9 2 D 17.5 0-