HomeMy Public PortalAbout6243 SULTANA AVE_Electrical__ 76a4 �E80s a-62. APPLICATION FOR ELECTRICAL PERMIT `
COUNTY OF LOS,ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY j'"•�s�g�,�p ��`
NEAREST ) 6
FOR APPLICANT TO FILL IN CROSS ST, L
F-RECEPT.-- TOTAL NO. EACH FEE
OUTLETS FIRST.20 1 S20IB OWNER Ra j4piemkv.T MAILADD' / jx
CH. OVER L .10 ADDRESS m® -2. 6 c
LIGHTING TOTAL F1RS.T 20 .20 CITY TEL.NO.
FIXTURES } AOD'L .10 ELECTRICIAN B � `
OV R 2O
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS O > 4g&-
GARB.DISP. STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(V,H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTY�Nk. GR� ZONE PROCESSED BY
O 1 1.00
1 s I.so INSPECTION RECORD
s a 2.0oj I D L s O UT L�r-S.
.a 1s 2.50
15 SO 3.00
s0 loo 15.00 0
SIGNS, NO.TRANS.
NO.LAMPS 0
O
F•
SERVICE 0.60OV-NDT OVER 200A 1.00 ® UV1
SERVICE 0.600V-OVER 200 A. 2.00 y
SERVICE OVER 600V 5.00
z
MISC.
PERMIT ISSUING FEE 2.00 do&
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 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING'
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICE BED A8.REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P PERTY POWER
SIGNATURE UTILITY CO.NOTIFIED L A
OF PERMITTEE
FINAL +/
LIDATION RIC VETT F
CK MO CASHPERVISING ELECTRICAL ENGINEER
r ,1 �-•� •rti
LALC 6 C J"IIx 2 D 3.4 0
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