HomeMy Public PortalAbout5139 DOREEN AVE_Electrical__ (3)76A663-CE606 6.62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING p
P
BUILDING AND SAFETY DIVISION ADDRESS O v Ai l
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING LOCAL IT
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
TOTAL NO. EACH FEE
REGETT.
FIRST 20 C11 '2O S OO OWNEROUTLETS
GHT
I
MAIL
SWITCH. ' 5L
OVER 20 10 3i aO ADDRESS
TOTAL CITY TEL. NO.LIGHTING FIRST 20I 20 Q
FIXTURES l uv De 20 10 ELECTRICIAN w L Lc`C
RANGES CLO.DRYERS WTR.HTR9. 11.00 1 ADDRESS
GAR`.DISP. STA.COOK J
CITY Al EL. NO.
OISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(y H.P.MA%.) 50 0 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTCT NO. GR P Z E P ESSED Y
O 1 1.00 5
1 3 I.So INSPECTION RECORD
3 B 2.00 ll ./L3 AFc'-L%vi{:!-
8 15 2.50
Gam'fix.,/
1s so 3.00 lewfrnl To eil, 41) a
50 100 5.00 O
SRCW n A F= t I H'a_ /:r7 U
SIGNS:
NO.TRANS-
I y 1
p(
NO.LAMPS I4lAiJ$ n//n'T/m /I'OY ASO n,1.1L 1 AI Or
SERVICED-600V-NOT OVER 200A 1.00 ATj,,. J„ IFFT , 6CGSIIS `W
SERVICE 0-60OV-OVER 200 A. 2.00 J Gn n••Tm. /(
1_
rDaM tl C'/n Z
SERVICE OVER 600V 5.00 Q
MISC.
I/ 7
PERMIT ISSUING FEE 2.00
SUPPLEMENTA13Y PERMIT ISSUING FEE 1.00
TOTAL FEE r B ly io
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
yELECTRICALWIRING.WIRING
I HEREBY CERTIFY THAT I
S
PROPERLY REGISTERED ATE OR Wnf l/LICENSED A9 REQUIRED BY LTH ANGELES COUNTY AND STATE OF FIXTURES II1/Y /J
CALIFORNIA SI THAT I AM THE LEGAL OWNER OF THE ABOVE
I
DESCRIBED RESIDENTIAL P OPERIY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL yOI I A3
LIDATION ARTHUR C. VEIT
CK MO CASH
SUPERVISING ELECTRICAL ENGINEER
LR o4 1.,5 2iff 2 . 2 D 1 4.00- R
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