HomeMy Public PortalAbout5351 ZADELL AVE_Electrical_9/8/1967_ 78A668-CEB081-67 APPLICATION FOR ELECTRICAL PERMIT1-1
" 1 � `
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER C ` //7
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING• LOCALITY riC AA , `I
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. ¢ /�j•.
RECEPT if 1 TOTAL No. EACH FEE
i I OUTLETS o $ $ OWNER d
LIGHT Jr FIRST 20. V .20
I 1 ?vMAIL /Q9}� ✓'
SWITCH !
OVER
2 .10 �' ADDRESS. Q v fC
OVER 2
FIRST 2 -20 CITY � l-V TEL.NO.
LIGHTING I-10-1
FIXTURESTOTALFIXTURES ADD'L -16 CONTRACTOR f�II� - T
OVER 20
RANGES DRYERS_ WTR.HTRS. 1.00 ADDRESSt D /{Q
iv I v� f
GARB.DISP.l STA.COOK
CITY 0FTEL.NO. Al Aj 44'-J.
DISHWASH.t/^ AUTO.-WASH. STATE
SPACE HTRS. STA. APPL. .50 LICENSE NO.
MOTORS OVER NOT OVER H.P. DISTRI5 Nr I GaPUP ZONE PRqaE BY
O 1 1.00
//9 &W 1.50 INSPECTION Rk6RD
s B 2.00
8 15 2.50
1s so 3.00
50 100 5.00 V
SIGNS
NO.TRANS. Im
NO.LAMPS 0
SERVICE O-SOOV-NOT OVER 200A 1.00 ITj
SERVICE 0-SOOV-OVER 200 A. 2.00 Z
SERVICE OVER SOOV 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE $
1 APPLICATIO
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS N
UNDERSLAB WORK r
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING n �
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES / -
LICENSED AS REQUIRED OS ANGELES COUNTY AND STATEOF _
CALIFORNIA ORT T I T E LEGAL OWN F.AND INTEND TO POWER \
RESIDE IN.THE AS E IBED
RES AL PR ERTY.
SIGNATURE UTILITY CO.NOTIFIED ,,,,,gy �y.�
OF PERMITTEE FINAL1 ® bbl"u�r/J
LIDATION JOSEPH'C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
LACO 05' 22 SEP 8 2 D 1 9.10- .