HomeMy Public PortalAbout5916 ROSEMEAD BLVD_Electrical__ 76AG63-CESOO-II-117 APPLICATION FOR ELECTRIC PERMIT 1�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER'
BUILDING
BUILDING ASAFETY DIVISION ADDRESS �S"
ND 1
JOHN A.LAME.County Engineer, �—
CASSATT D. GBWM.Supt of Building LOCALITY e, c
NEAREST Of
FOR APPLICANT TO FILL 1N CROSS ST.
PFJWT FEES
ITEM NUMBER EACH FEE OWNER
OUTLETS• •y $ $ 4 MAIL
LIGHTS RECEPT. SW:f .10 i•O ADDRESS
LIGHTING FIXTURES 10 G D CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER .HEATERS .50 ADDRESS1.0
ELEC.SPACE HTRS. DISHWASHERS
GARBAGE DISPOSERS AUTO.- CITY 1 TEL.NO
STATE qy
WASHERS STA.COOKING UNITS •25 LICENSE NO.
MOTORS: OVER INC. H.P. Al
f r DISTRIC�I O. GP ZON READY FOR INSPECTION
0— 1/2 25 �aStt C�t�
1/a— 2 s0
INSPECTION RECORD
2 — s 1.00
S _ 1s 1.50
Is — so 2.S0
so— 200 5.007`I{r G'f�:✓� (f1/f/,-%�
SIGNS: NO.TRANS. Y + �(
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER GOOV 5.00
MISC.
WIRING PERMIT 1.00 BO
FIXTURE PERMIT 1.00 QQ
SUPPLEMENTARY PERMIT .30
TOTALFEE $ G�' APPROVALS
1 HEREBY ACKNOWLEDGE THAT-1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND.STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR /
LICENSED AS REQUIRED_ BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE UTILITY CO.NOTIFIED per- /may p
OFPERMITTE
ATION ARTHUR C.VEIT.
CK O CASH SUPERVISING ELECTRICAL ENGINEER .,
Ar,0 6 2 9 0° NO 3 2 A 6.05'
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