HomeMy Public PortalAbout5441 WELLAND AVE_Electrical__ 3AG63-CEBOS 10-61 APPLICAT GN76 ELEtTRICALfRMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER ?�
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST,
I T E M NO. I EACH I= I .
OUTLETS: (FIRST 20) s• S OWNER
LIGHTS RECEPT. d SW. !Z '2O �d MAIL
OUTLETS: (ABDD'L UNITS) ADDRESS
LIGHTS f/ RECEPT. SW. !/ $ .10 a,
LIGHTING FIXTURES: (FIRST 20) �� ,20' °� a CITY TEL.NO.
LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
odrRB.DIS STA.COOK CITY TEL.NO. 'd J'3
DISHWASH. A .-WASH. STATE �7
SPACE HTRS. APP. ,50 �' LICENSE NO. 179
MOTORS: -OVER NOT OVER H.P. DISTp=T NO.1GR UP. ZO E PR CE. D Y
O 1 1.00
1 s 1.50 INSPECTION RECORD
s S 2.00
O
B 1s 2.50
(�
15 so 13.00 - O
so 100 5.00
NO.TRANS. d.
NLAMPS h
SIGNS: O.
Z
SERVICE 0.600V-Nor ovER 200A 1.00 p
SERVICE 0.600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE2.00 Q
SUPPLEMENTARY-PERMIT ISSUING FEE 1.00
TOTAL FEE ��, D
1 HEREBY ACKNOWLEDGE THAT I 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 AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 'E;f✓!F'�..- TS::�N`��,i�
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE' ABOVE - p '
DESCRIBED RESIDENT L PROPERTY. POWER
SIGNATURE U
OF PERMITTE UTILITY'CO.NOTIFIED (9.e• !Ta • . �
FINAL Pal 1 A 9 f`%8. -la 441X!
LIDATION ARTIyUR C. VETT �
OK
MO CASH SUPERVISING.ELECTRICAL ENGINEER
(; 1 0 7 6 AFR 13 2 D 12.9 0 M