HomeMy Public PortalAbout8617 WORTHINGTON DR - Electrical - 1960-07-08 Sun- °°s-°B APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS ccA ,
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST.
ST.
FEES .
�1
ITEM NUMBER I EACH FEOWNERE MAIL
OUTLETS:.. $ $ � ADDRESS
LIGHTS RECEP�L SW: .10 L�
LIGHTING FIXTURES A r .10 'C� CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN.A& " `�_" •G
WATER HEATERS .SO ADDRES �� r�(.0
ELEC.SPACE HTRSn„DISHWASHERS CITY yc .Llfi,fC' TEL.NO
GARBAGE DISPOSERS/ AUTO.- ..ti STATE
WASHERS STA.COOKING UNITS - .25 7 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT O. GROUP ZONE I PR BY
o— va Af .20
-i
— 2 .50 INSPECTION RECORD
2— B 1.00
0— is 1.80
is— so 2.5.0
50-200 5.00
SIGHS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00 0 L7
SERVICE OVER GOOV 0.00
MISC.
WIRING.PERMIT 1.00
FIXTURE PERMIT 1.00 J
SUPPLEMENTARY PERMIT 00
TOTAL FEE a6
1 HEREBY ACKNOWLEDGE THAT I HAVE READ T141S APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL. COUNTY ORDINANC$8 AND STATE LAWS REGULATING - CONDUIT
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORWIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE AHOY$'
DESCRIBED RESIDENTIAL FROP$RTY. POWER
SIGNATURE , UTILITY CO.NOTIFIED
OFPERMITTE ./Iy"�
FINAL pp ��. I. ..+ _•,.�a'k�-��,ei� -
)r ATION SUPERVISIN VELEG7R1CA4 ENGINEER
C MO CASH
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