HomeMy Public PortalAbout5034 SULTANA AVE_Electrical__ �aaaea-reeoe S62
APPLICATION F R ELECTRICAL PERMIT
COU T$' OF LOS ANGELES
DEPARTM NT OF COUNTY ENGINEER B
UILDING I
BUILD, G AND 8AFETY DIVISION SS
JOHN A MBIE COUNTY ENOINEER ,�pp
WILLIAM A JE SEN,pup T OF BUILDINo lr TJ-7-2
1
NIEAREST
F R AIDID OFIL CROSS ST 4,7- A Q
RECCPT TOTAL NO EACH FEE
OUTLETS FIRST 20 •IG s
LIGHT NAIL fi 714
A00'L 10 ADDRESS
SWITCH OVER 20
TOTAL cln 9 1" TEL NOLIGHTING FIAET20EOFIXTURES ADO•L 10 ELECTRICIAN E O61
RAkGEE CLO a Mll WTR WITS 100 ADDRESS i+CARR OISP STA COOSCin O NODINIWAIH AITTO-WASH STATE
RA APP I%HF MAXI SO LICENSE NO QMOTORS, OVER NIOTOVER HP DISTRICT N G UP N P
O 1 100
1 s 150 INSPECTION RECORD
S — e 200
S — IS 250 >
D.
IS EO Goo 0
80 ]DID 1500 OT
O
SIGNS, No TRANS /
NO LAMPR
d
SERVICED SOOV NOT ovm1200A 100 Z
SERVICE O SOOV OVER 200 A 200
SERVICE OVER SOOV 500
MISC
PERMIT ISSUING PEE 2 00
SUPPLEMENTARY PERMIT ISSUING PEE 100
TOTAL FEE
I HERESY A"MOWLEDOE THAT 1 HAVE READ THIS APPLICATII
ALS DATE IMM OR G IATURE
AND STAn THAT THE ASOve IS CoRRELT AND AGREE To COMPDUIT
WITN ALL COUNTY O101NANCEs AND (TATE LAWS REouun
[LECTRIGL WIRING NG
1 HOI®Y CERTIFY TNAT I AM PR01tRLY REGISTERED AND/
LICENSD AS MQUIRED EY LOS ANOELu COUNTY AND STATE URES
CALIFORNIA OR THAT I AN E LEOAL OWNER OF E ASO
I DEscwnED REST I7- T ER
SIGNATURE ITY CO NOTIFIED
OR FERMI L
VALIDAT ARTHUR C VEIT
CK CASH SUPERVISING ELECTRICAL ENGINEER
LAJ;o7 0 6 i"w Nov16 2 D 3.00—
' � ,