HomeMy Public PortalAbout5022 WILLMONTE AVE_Electrical__ 76A669-CE606 6-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �q
BUILDING AND SAFETY DIVISION ADDRESS VV
JOHN A. LAMBIE, COUNTY ENGINEER �� .
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. c'/s'
RECEPT. TOTAL NO. EACH .FEE
OUTLETS FIRST 20 g $2O 6 �O OWNER
LIGHT, ba MAIL
,jry�r ADD'L 10 ADDRESS
SWITCH.a,OL OVER 2O ,�
LIGHTINGEL7ADD'L
OTAL FIRST 20 -20 3 CITY TEL.NO.
FIXTURES .10 ELECTRICIAN 01 IL.*
OV R 20
RANGES CLO.DRYERS WTR.HTRB. 1.00 ADDRESS Q -V�03- .y1-
GARB.DISP. STA.COOK CITY TEL.NO. 1!G
DISHWASH. AUTO.-WASH. STATE
SPACE HTRB. STA.APP.(1Aa H.P.MAX. /moi, .5o Q LICENSE NO.
MOTORS, OVER NOT OVER H.P.. DISTRICT NO. G U_P 1 'rJE PR WD D BY
O 1 1.00
I a 1.50 INSPECTION RECORD
s 6 2.00
8 is 2.50
15 so 3.00
CL
50 100 5.00 0
SIGNS: NO.TRANS
W.
NO.LAMPS �0
SERVICE 0.60OV-NOT OVER 200A 1.00 dJff W
SERVICE 0.600V-OVER 200 A. 2.00 D.
N
SERVICE OVER 600V 5.00 Z.
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL 'FEE 8
ou
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'B SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT A ,•) _ )1
WITH ALL•COUNTY ORDINANCES AND STATE LAWS REGULATING p--
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR /t �j )
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES O I�'J�/ '"'� **
CALIFORNIA OR THAT 1 AM THE LEGA OWNER OF THE ABOVE r- 4 i
DESCRIBED RESIDE N POWER /I / ,/ 1
SIGNATURE IA
OF PERMITTEE JUTILITY CO.NOTIFIED ij6 %^,."'%�
// t /•�� - `�
FINAL
-*VXLIDATION ARTHUR C. VEIT• -
f CK� MO CASH SUPERVISING ELECTRICAL ENGINEER
iri'Lr3 7 3 1 1 U jUL 1. 0 ? D 1 6.X10 N