HomeMy Public PortalAbout10049 BOGUE ST_Electrical_7/6/1955 7 A663
APPLICATION FOR * ELECTRIC PERMIT
DBS-SA 12.54 -
DIVISION OF-BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles- BUILDING '
WM. J. FOX, COUNTY ENGINEER - ADDRESS O
CASSATT D. GRIFFIN, SUPT OF"BUILDING -
11IMMMA
FOR APPLICANT TO FILL IN LOCALITY
PERMIT FEES . NE..S T, �� lhliif
CROSS ST
NUMBER EACH FEEZd
'
LIGHT OUTLETS OWNER T v
RECEPTACLES - MAIL
ADDRESS
WALL-SWITCHES -
TOTAL OUTLETS 56 $ CITY - TEL. NO.
ELEC. RANGES 25 ELECTRICIAN/ ['•
ELEC HEATERS 25 ADDRESS
KW EA CITY S ,;e ZZ �FiZTEL. Nqoy�,K
FIXTURES - - 5 LICENSE NO.
NUMBER OF'LIGHT CIRCUITS ' DISTRICT NO JGRO� j Z,ANREADY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS /`�
MOTORS,
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD HP OVER INC EACH • --
V2&LESS $ .25 ,
1/4 2 .50 -
• 2 •5 1.00 -
5 15 1"50
15 50 250
50 200 5.00
misc.
NO. SIGNS NO. TRANS
NO. SIGNS, NO. LAMPS
FOR EACH PERMIT: '
WIRING $1 00 -
FIXTURES - •$1.00
SUPPLEMENTARY .50
APPROVALS
TOTAL FEE $--� DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES- AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
IHEREBY CERTIFY THAT'I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LCIS ANGELEOUNTY AND STATE OF POWER
CALIFORNIA'OR THAT T EG OWNER OF THE ABOVE
DESCRIBED RE"
P -
UTILITY CO. NOTIFIED
SIGNATURE FINAL �` �. / t� Ll �'l..
OF PERMITTEE
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
3 JUL . 6 2 1 :2 5 .
iCf • -
® . . � DEPUTY a