HomeMy Public PortalAbout5338 WELLAND AVE_Electrical__ 'SA66*_CsSOa-9-57 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE..COUNTY ENGINEER �aT-•
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES .
G ITEM NUMBER EACH FEE OWNER P
OUTLET $ $ MAIL_
LIGHTS REceP[. aw .10 ADDRESS
LIGHTING FIXTURES .10jyj CITY TEL NO.
ELEC.RANGES CLO.DRYERS '
ELECTRICIAN
WATER H A T E R S 1 .50 ADDRESS-
ELEC.SPACE HTRS.I DISHWASHERS.
GARBAGE DISPOSERS / AUTO._ CITYTE O
WASHERS STA.COOKING-UNITS. .25 ® LICENIICEN STATEIrf t
SE IVO. G/
MOTORS: OVER INC. H.P. _
0— IA ..25! DISTRICT NO. GROUP ZONE I READY FOR INSPECTION
1/2— 2 .50
2 — 5 1.00 INSPECTION RECORD
5 — is 1.50
15 — 50 2.50
50— 200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-000V 1.00 .
SERVICE OVER OOOV 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 "P
SUPPLEMENTARY PERMIT .50'
TOTAL FEE $ APPROVAL$
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE. INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �r p
ELECTRICAL WIRING. WIRING F`� t, �" !• �,f�-kt Z
I HEREBY.CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED Y LOS ANG ES COUNTY AIUD STATE OF FIXTURES
CALIFORNIA OR THATAll. THE AL NE 0 THE ABOVE POWER
DESCRIBED RESIDENTI ERTY. y
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE FINAL A 1;-,fw F
YXMATION ART UR C.VEIT.
CK MO CASH SUPERViSING ELECiTRICAL ENGINEER
LACo2 9 8 6N JAIL 18 2 A 1 0.2 0
76A 63-CESOe_,1,;APPLICATION FOR ELECTRIC P RMIT 1
COUNTY OF LOS )=ELES
DEPARTIMM OF COUNTY ENGINEER flBUILDING
BUIEDMG AND SAFETY DIVISION DDRESS f_JOI�IITtALAI�i$. "If,reTl'A GF,II'FIIQ. !o! OCALITY
ST
FOR APpPE�T T TO FILL IN CRROSS
ST.
FM
ITEM NUMBER EACH FEE OWNER
OUTLETS: $ $ MAIL
LIGHTS RECEPT. SW. .10 ADDRESS i
LIGHTING FIXTURES f0 CITY TEL.NO
ELEM RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS /J
ELEC.SPACE HTRS. DISHWASHERS
GARBAGE DISPOSERS AUTO.- CITY
WASHERS STA.COOKING UNITS 1 ,88 1 STATE
LICENSE NO.
MOTORS: OVER INC. H.P.
0— 2/2 .215 5 RIC NO. G ONE READY FOR INSPECTION
` 1/2— 2 .50
IlWECTION RECORD
2 — 5 1.00
r
15 — 1s 1.150
is — so 2.50 + I
50 200 .5.00
SIGNS: NOTRANS. ,t ,j;I
NO.LAMPS J
1.00 f TV,
,/V� t
r
SERVICE OVER HOOV 5.00 ,��
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE g APPROVALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTO]PS SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO. COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING ✓'�+ ,� �f� ,l, r ='
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY N STATE OF
CALIFORNIA OR THAT 1 THE LE L OW ER E ABOVE POWER /
DESCRIBED RESIDENTIAL 0 TY. c�
SIGNATURE- UTILITY CO.NOTIFIED
OF PERMITTE ���// ,,,��
FINAL �" GCL`
;�; ATZON ARTHUR C. EI
CK MO CASH SU PERYISINGLECTRICAL EN6IIVEER
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