HomeMy Public PortalAbout5443 WELLAND AVE_Electrical__ 76A663-CE606 ,0.62 APPLICATION FOR ELECTRICAL P RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDIN
BUILDING AND SAFETY DIVISION ADDRESS t✓'L 11 L)
JOHN A. LAMBIE. COUNTY ENGINEER �j
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY / 1442 1 t--
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
LIGHT
OUTLETS FIRST 20 O '-p0 S OWNER
MAIL
ADD'L ADDRESS
SWITCH.
OVER 20 .10
TOTAL CITY TEL.NO.
LIGHTING FIRST 20 .20 �
FIXTURES ADD'L 10 ELECTRICI7'_
AN'S
OVER 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS e, _/l-.
GARB.DISP. STA.COOK
CITY
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(1/=H.P.MAX.) ,S0 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT No. GRQMPI ZAONEPR ED BY
1
O 1 1.00
1 3 1.50 INSPECTION RECORD
3 8 2.00
8 15 2.50
15 50 3.00 0
50 100 5.00
d
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0.600V-Nor OVER 200A 1.00 Q
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
1 1
TOTAL FEE f
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 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE -`
DESCRIBED RESIDENTIAL opERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE ___ ----- - ------
FINAL
VALIDATION ARTHUR C. VEIT
CKj MO CASH SUPERVISING ELECTRICAL ENGINEER
V Lo 9 5 6 9 La AUG 2 9 2 0 1