HomeMy Public PortalAbout5336 ZADELL AVE_Electrical_7/12/1965_ P
76A669-CE806��}64� APPLICATION FORL�CTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
ING
BUILDING AND SAFETY DIVISION ESS / • �••
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT. OF BUILDING LITY
FOR APPLICANT TO FILL IN .
RECEPT TOTAL NO. EACH FEE
LIGHT O OUTTL'ETS FIRST 20 +Sj� $.1O OWNER �
SWITCH. �sAIL
OVER 20 a�{a!5 •10 ADD EBB
TOTAL CITY ?` TEL.NO.. (
LIGHTING
L�427m�=
I FIRST 20 .20 FIXTURES ADD'L OVR 20 ,10 ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY AOOTEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS.a STA.APP.(Vy X.P.MAX.) .50
LICENSE NO.
MOTORS, •sovER NOT OVER H.P. DISTRI TO. GRIP NFA P SSED BY
O 1 1.00 t
I a 1.50 INSPECTION RECORD
8 8 2.00 79
s ���-d 1 O
d
�+� /�1s 2.50 ✓G NSC, GetJS' °(. V
Is so 3.00 ,v�
�� O/fir ���* `s �1�"- .AvE oe
50 100 5.00 LI,SINs W
NO.TRANS.
SIGNSe NO.LAMPS y
SERVICE O•GOOV-NOT OVER 200A 1.00
4fa5 Z
SERVICE O.SOOV-OVER 200 A. 2.00 oF
SERVICE OVER GOOV 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONtFINA
ALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,9
WITH ALL•COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
1 HEREBY.CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY L09 ANGELES COUNTY AND STATE OP
CALIFORNIA OR THAT M THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN,THE ABOVE SCRIBED RE IDENTIAL ROP ERTY.
r
SIGNATURE OTIFIED /
OF PERMITTEE
DATION JOSEPH C. ROOLEC
CK. MO CASH
SUPERVISING ELECTRICAL ENGINEER
LACo 3 5 5 6G JUL 12 2 D 1 j..5 Q r