HomeMy Public PortalAbout5426 WELLAND AVE_Electrical__ 6A666-CES06 5-62 APPLICATION FOR kMTRICAL PERMIT � '-
COUNTY OF LOS ANGELES'
DEPARTMENT OF COUNTY ENGINEER BUILDING }— k �
BUILDING AND-SAFETY DIVISION ADDREss `7
JOHN A. LAMBIE, COUNTY ENGINEER r.
WILLIAM A..JENSEN,SUPT OF BUILDING LOCALITY — %LS - _
.NEAREST -
FOR APPLICANT TO FILL IN CRoss:"tiT:
RECEPT. R TOTAL .+ r
OUTLETS FIRST 20 No. EACH PEE$.2O $• OWNER' U
LIGHT r] (� 00. MAIL
SWITCH..—), OVER 20 O� .10 u ADDRESS
LIGHT,IN.G TOTAL FIRST20 �' .20 � � CITY TEL.NO. '.
FIXTURES / ADO'L 10 ELECTRICIAN'.
.OV R ZO
RANGES• CLO.DRYERS ' WTR.UTRS. - 1.00., ADDRESS � �Q
GARB.DISP. STA.COOK ,
CITY , ' .r TEL•.NO.
DISHWASH. AUTO.-WASH. - •' ,STATE- -
SPACE HTRS._' BTA.APP.(v.H.P.MAX.) .50
LICENSE
'NO:
MOTORS: OVER NOT OVER H.P. DISTRICT NO.-. TUP. ONE PR E ED BY
O :1 - 1.00 '.j
I ' ss-, 1.50 = p INSPECTION RECORD
B ts•
2.50 2tE.r�.af t' ' ' r.r�-r , ,. 0
is so s.00. _ __ 3!' v'
• 50 100 5.00 '
NO.TRANS. _ O
81GNB: NO.LAMPS
D•'
SERVICE 0.600V-NOT OVER 200A 1.00 Z
SERVICE O.600V-OVER•200 A. 2.00
SERVICE OVER 600V 5.00 '
PERMIT ISSUING FEE - .2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1:00
TOTAL.FEE
1 M6REBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE.THAT THE ABOVE IS 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 ,.'�'"
• LICENSED A8 REQUIRED.BY L08 ANGELES COUNTY AND STATE OF FIXTURES '
CALIFORNIA OR THAT 1 AM THE'LEGAL OWNER OF THE'ABOVE _ A ,
DESCRIBED RESIDENTIAL PROPERTY. POWER yyh
SIGNATURE ..UTILITY CO.NOTIFIED' . as �0Jird 04 1'
OF PERMITTEE
FINAL ' /f�A /f!S ;
IDATION ARTHUR C.VEIT,
�K• MO, CASH- SUPERVISING:ELECTRICAL ENGINEER '
,I a'0 9. 6 �JUL2'6 2' Q1 •1.3.330"'