HomeMy Public PortalAbout86221 WORTHINGTON DR - Electrical - 1960-05-13 ,mals-caaoe a-aa APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES .t
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS cat
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN,SUP'T OF BUILDING LOCALITY q
~FOR APPLICANT TO FILL IN CROSS T C .%' v
PFaWT FEES
1 T E MNUMBER EACH FEE OWNER
MAIL
OUTLETS: .+� l ? $ $ ADDRESS
LIGHTS RECEPT.G J .10 _
LIGHTING FIXTURES f — .10 `I CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN g
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRILOWGHWASHERS CITY ) TEL NO.
GARBAGE DISPOSERS r AUTO.- / STATE
WASHERS STA.COOKING UNITS .25 73 LICENSE NO.
MOTORS: OVER INc. H.P. DISTRICT NO. I GROUP E ONPRfJ SED BY
0- 1/a :25 r+ II/+ per.
va'� 2 :50 DiSPECTION TECO
2— 5 1.00
5— i5 1.50
Is— 50 2.50
150-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00 f/t7
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ O
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
WITH ALL COUNTY ORDINANCES AND SPATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING —3/- D �Jl .i
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
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SIGNATURE f UTILITY CO.NOTIFIED
OF PERMITTE
FINAL '� ��.� I✓.
9e, A DATION SUPERVISING HUR C.VE
Ec'urRICAL ENGINEER
CK 'm0 CASH
IAr,0 0 7 6 41 MAY 13 2 A 1 1 .3 0