HomeMy Public PortalAbout9194 JAYLEE DR_Electrical_9/5/1956_outlets,fixtures DBS-5A,DBS-5A 3.55 (/" L APPLICATION FOR ELECTRIC BIC PERMIT
DIVISION OF BUILDING AND SAFETY .
Department of County Engineer
County of Los Angeles FDD
G l
WM.J. FOX, COUNTY ENGINEER S
CASSATT D. GRIFFIN.SUPT OF BUILDING
1
Y
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
NUMBER EACH FEE
r
LIGHT OUTLETS OWNER
RECEPTACLES MAIL
ADDRESS
WALL SW ITCHES
TOTAL OUTLETS 5¢ ' $ CITY A TEL.NO.
ELEC. RANGES 25 ELECTRICIAN
ELEC. HEATERS 25 ADDRESS
KW EA ITY NO.
FIXTURES I 513� LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GROUP( Z�E I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
NUMBER HORSEPOWERFEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
1/2&LESS $ .25
1/2 2 .50
2 5 1.00.
5 15 1.50
15 50 2.50
50 200 -5.00
MISC.
NO.SIGNS NO.'TRANS. -
NO.SIGNS NO. LAMPS
FOR EACH PERMIT: I� '
WIRING ,$1.00 B - -"
FIXTURES 51.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE S / DATE/ INSPECTORS�SyIG/NATURE
I HEREBY ACKNOWLEDGE THAT' I HAVE-READ THIS A LI ATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE O COMPLY Qp
WITH ALL COUNTY ORDINANCES AND -STATE LAWS EGULATING WIRING - ZSS v 1 .lhf
ELECTRICAL WIRING. �•y
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES 'Op (IyS 1'VL1.tGF.f��
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I A THE LEGAL OWNER. OF THE ABOVE POWER
DESCRIBED RESIDENTIAL P ERTY.
UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
WILLIAM J. FOX, CANTY ENGI EER VALIDATION A. C.VEIT,CHIEF ELECT. INSPECTOR
j_, 9 8 9 1,'. SEP 5 2 45-0 �'