HomeMy Public PortalAbout5222 BALDWIN AVE_Electrical__ (2) OS D5A i1 1515 " AP63
PLICATION APPLICATION FOR ELECTRIC PERMIT
B9 8A
DIVISION OF BUILDING AND SAFETY
Depoxtrnent of County Engineer BUILDING
County of 1.08 Angeles ADDRESS
JOHN A LAMBIE COUNTY ENGINEER .�
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST <
PERMIT FEES CROSS ST
NUMBER OWNER c
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL NO
TOTAL OUTLETS ® S¢ $
ELECTRICIAN
ELEC RANGES 28
ADDRESS
ELEC HEATERS 25 _
KW EA CITY TEL NO (j-D L
STATE
FIXTURES g LICENSE NO GJ�
MOTORS DISTRICT NO I GROUP I Z?;j I READY FOR INSPECTION
.7 -J'
NUMBER HORSEPOWER FEE F -� 7�r�
NEW MVD HP OVER INC EACH
1/2 Sc LEBB 2s$ INSPECTION RECORD
Yi 2 50
2 S too
S 1 18 150
15 so 2 150
so 200 500
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $1 00
FIXTURES $1 00
SUPPLEMENTARY 150 APPROVALS
TOTAL FEE $ DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF TH ABOVE POWER
DESCRIBED RESIDENT=PROPERTY
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE FINAL le-pp /
it1Af1 A
JOHN A LAMB COUNTY ENGINEERATION ARTHUR C VEIT CHIEF ELECT INSPECTOR
CK MO CASH
,C4 7 3 5 U—) APR 4 2 100