HomeMy Public PortalAbout5436 WARMAN LN_Electrical__ (2) 78A�9A�9.59 89
D85. APPLICATION FOR ELECTRIC RIC PERMIT
.-DIVISION OF BUILDING AND SAFETY
Deplatmeat of County Engineer
County of Lob Angeles BUILDING
WM.J. FOX,COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN.SUPT OF BUILDING _
LOCALITY
FOR APPLICANT TO FILL IN
PEMWr FEES NEAREST CROSS TLou
NUMBER EACH FEE
OWNER
LIGHT OUTLETS /
MAIL
RECEPTACLES ADDRESS
WALL SWITCHES
TOTAL OUTLETS 5¢ $ CITY TEL.NO.
ELEC.RANGES 25 ELECTRICIAN
_ELEC. HEATERS 25 ADDRESS
KW EA CITY TEL.NO.
+ FIXTURES 5 SS LIWE-
CENSE NO.
'44 zg..6 4 --I I Al�ml
NUMBER OF LIGHT CIRCUITS
— • DISTRICT NO. GROUP ZONE REn9r FOR InsFEcrlox
NUMBER OF RECEPTACLE CIRCUITS
MOTORS CJ
s NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
L i/z&LESS $ .25 ,
I/2 2 .50
2 5 1.00
r
5 15 1.50
15 50 2.50
s 50 200 5.00
i
MISC.
iNO.SIGNS NO.TRANS. t
NO.SIGNS NO.LAMPS J
FOR EACH PER
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE $ ti DATE INSPECTOR'S SIGNATURE
ip I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING I S I•se Z'
ELECTRICAL WIRING.
I 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 THE ABOVE POWER
DESCRIBED RESIDENTIAL P OPERTY.
SIGNATURE UTILITY CO.NOTIFIED ^ LS UTILITY CO.NOTIFIED ^ S�s���i1 Y�e1A—CYJLAA—C
'F. OF PERMITTEE FINAL u
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT,CHIEF ELECT.INSPECTOR
jCo 1 4 1 5 JAN 3 2
4.. 4.4.45