HomeMy Public PortalAbout5702 OAK AVE_Electrical_8/7/1964_76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �-+•�1
BUILDING AND SAFETY DIVISION ADDRESS "] / e 2 //_j.� - �� /T- a& ='1
JOHN A. LAMBIE, COUNTY ENGINEER �' / A
WILLIAM A. JENSEN, SUP of BUILDING _LOCALITY �P_
NEAREST FOR APPLICANT TO FILL IN c8oss ST.
�Q /f-//�
EA
LNNO. CH FEE J G� /�
REC EP T. TOTAL
OUTLETS FIRST 20 $ 20 $ OWNER L GJ�7 [(Q_ / LI
LIGHT MAIL ADD'L ADDRESS S7 D �r. �Q (` v -C_. +
SWITCH. OVER 20 •ID —� // 7
TOTAL CITY Very., j TEL. NO. �T
LIGHTING FIRST 20 .20
FIXTURES l ADD'L f0 ELECTRICIAN _ -
OVER 20 / _ �-{
RANGES CLO. DRYERS WTR. HTRS. { 1.00 / I Cl' ADDRESS �` `
GARB. DISP. STA. COOK /
CITY TEL. NO.
DISHWwsH. AUTO-WASH.I STATE �
SPACE HTRS. STA. APF .(Yz H.P. MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT{'Oy/y GV I f PRED PrY
O f 1.00 :7 C' F1 470
1 3 1.50 INSPECTION RECORD
INSPECTOR'S SIGNATURE
v VALID. iT� AUYHUR C. VEr
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
2 3 7 0 •a AUG 7 2 D 4.0 0
I
3 8
2.00
e 15
2.50
15 50
3.00
50 100
5.00
SIGNS: NO.TRANS-
NO.LAMPS
SERVICE C -600V -NOT OVER 200A 1.00
SERVICE O.60OV .OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
i
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ �Q
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
APPROVALS DATE
ANO STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY
CONDUIT
WITH ALL COUNTY 0ROINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
FIXTURES
CALIFORNIA OR THAT 1 AM T E LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIALPR Y.
POWER
SIGNATURE
UTILITY CO. NOTIFIED
OF PERMITTE - -
_
FINAL
INSPECTOR'S SIGNATURE
v VALID. iT� AUYHUR C. VEr
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
2 3 7 0 •a AUG 7 2 D 4.0 0