HomeMy Public PortalAbout5628 SULTANA AVE_Electrical__ TBABmI cc#GDS B BI APPLICATION FOR ELECTRICAL PERMIT L1
COUNTY OF LOB ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE. Cou NTY ENa1NEiR _q
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY C t
NEAREST
S FOR APPLICANT TO FILL IN CROSS ST J$
PERMIT FEES OWNER L( 1 li
ITEM NUMBER EACH FR MAIL
OUTLET i f ADDRESS
LIONTD nEc[rt sw f0 CITY NO
LIGHTING FIXTURES 1p
[LEC RANGES CLO DRYERS ELECTRICIAN 7 , '/I
WATER HEATERS EO ADDRESS ! L/�
[LEC SPACE TRS DISHWASHERS _
P G CITY L NO
GARSAGEDISPOSIERS g AUTO �j BTATM
WASHERS STA COOKING UN" ^{i 20 OO LICENSE NO
MOTORS OVER INC HP D15ZRICT O G OUP Z E PROCESSED BY
O— yA 25 I 1S � O —3 wvv
Ih— 2 fpIyN,�PCL,TI_ON.I/RKORD
2— f 100 �� , //lA /A�/,,"((��/ J _ 0
U
0— 10 100 —� L(ili�e Y�oa.�c+7'1•� �L..�� '
1D— E0cc
200 ( C
BO— 200 boo 3 /� ri
W
SIGNS NO TRANS d
NO LAMPS N
Z
SERVICED EOOV I00 O
SERVICE OVER EOOV 500
MISC
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 00
TOTAL FEE J
1 HERESY ACKNOWLEDGE THAT I HAVE BRAD THIS APPLICATION APPROVALS DATE INSF[CTOR S SIGNATURE
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUITA //
ELECTRICAL WIRING WIRINGV 4usm'/ '!
1 NEARBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR _ y
LIC[NB[O AS nROU1BED BY LOS ANGELES COUNTY AND STATE OF FIXTURES /
CALIFORNIA OR THAT I AM THE L OWNER OF THE ABOVE
DESCRIBED RESIDBNTI L PROPERTY I POWER `
SIGNATURE UTILITY CO NOTIFIED( 9 1
OF PERMITTEI / -
FINAL
,XAVDATION THUR N VETT
C Mo GSH UPERVISINO ELECTRICAL ENGINEER
9549 -J W13 2 D 5 6.9 5