HomeMy Public PortalAbout5523 WELLAND AVE_Electrical__ fA663=CES06 5-62 APPLICATION FOR ELECT C:AL PER
COUNTY OF LOSANGELES .
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. .,�
TOTAL' NO. EACH FEE , r .
RECEPT. �'t FIR:ST20ffi. $ /' �iOWNER ,
LIGHT OUTLETS 2O' 3 Ci '+ MAIL
f DADDRESS
SWITCH. O.,ER21OJ
TOTAL CITY TEL.N.O. X2
LIGHTING- FIRST 20 .� :.EO.• O
FIXTURES } ADD'L :10, ELECTRICIAN
OVER 20
RANGES CL'O.DRYERS NRR.NLRB. 1.00 %.►DDRESS / _ i
DIBP. STA.coox CITY . TEL.NO. Q�
DISHWASH. .AUTO.-WASH. STATE / �yY
SPACE HTRS. STA.APP:(ys N.P_.IAAz 3 .50 D .
LICENSE NO. / ///
MOTORS: OV R. NOT OVER. M.P. DIST T GROUP Z NE P. SEED BY .
O t 1.00
t s 1.so INSPECTION: 'RECt''RD e
9 5 2.00 _$�'A'� r -� t4 1:wrt +. P 4"�f L tv
S 15. 2'.50 ::
15. ... 50 9,00: 31 4• . v
1 �. V.
50• 100' 5.00 D'
SIGNS: NO.TRANS- V
NO.,LAMPS y,l
CL
SERVICE 0.600V-Nor OVER 200A.' 1,00. 0) ,`
SERVICE 0.600V-OVER 200 A: 2.00
SERVICE OVER 600V, 5.00
MISC.
ti
PERMIT ISSUING FEE 2.00 1
SUPPLEMENTA$Y PERMIT ISSUING FEB 1.00
TOTAL FEE
I HEREBY'ACKNOWLEDGE THAT"1 HAVE READ THIS.APP CATION APPROVALS.. DATE INSPECTOR'S SIGNATURE
AND STATB THAT-THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT _..A. .✓'f .A.s!
WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING �+..r
ELECTRICAL WIRING. WIRING J..afi•`S..�I:f..5
1 HERESY 'CERTIFY THAT 1. AM' PROPERLY REGISTERED AND/OR j
LICENSED AS REQUIRED BY IAS ANGELES COUNTY AND STATE OF FIXTURES 74'd ,O �•
CALIFORNIA OR,THAT I AM THE LEGAL.OWNER OF THE ABOVE Ij' r •+' (,.�
DESCRIBED RESIDENTIAL OPE .POWER d .o .•..b—/!1.- /
SIGNATURE UTILITY CO.NOTIFIED ��qqpI�A+� l
OF PERMITTEE FINAL 9 /A; -1
VIDATION ARTHUR C. VEIT
V ( CIC JMO CASH SUPERVISING ELECTRICAL ENGINEER
Lis
-24 5 1 t: MAR 2 5 . 2 0 1 4.2 0