HomeMy Public PortalAbout9174 JAYLEE DR_Electrical__outlets,fixtures 76A6\CESO6_9-57 APPLICATION TION FOR ELECTRIC PERMIT �-
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER eUiLDING T
BUILDING AND SAFETY DIVISION ADDREss E�j)Pa)11=�gp�CAGd
JOHN AiLAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BuILDING LOCALITY TaMnj n C4. 10
FOR APPLICANT TO FILL IN NEAREST
ROSS sT. AffA p 4
PERMIT FEES OWNER _��
I T E M NUMBER EACH FEE
OUTLET: ' ' $ $' AIL
o LIGHTS M
RECEPT. SW. 1 .SO ADDRESS
LIGHTING FIXTURES .10' CITY TEL.NO,
ELEC.RANGES CLO.DRYERS q9 ELECTRICIAN ' dqOUC/Hy nFL�}'Q Rld00o
WATER HEATERS .1S .50 ADDRESS -1S® 4 E1t.SG�ntla Ave.
ELEC.SPACE HTRS. _DISHWASHERS ' �yt,
GARBAGE DISPOSERS AUTO.- CITY Sout'1 .Gate TEL.NO.LOa p.
WASHERS STA.•COOKING`UNITS .25 .STATE
LICENSE NO. A
MOTORS: OVER INC. H.P.
DISTRICT GRQ_UP I ZONE READY FOR INSPECTION
0 — 1/2 .25
1/2 —. 2 .50 /
y INSPECTION RECORD
2 5 1.00
5 —' 15 1.50
15 — 50 2.50
50— 200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICED-600V .1.00
SERVICE OVER 600V 5.00 .. '
MISC.
s WIRING PERMIT 1.00 d i
FIXTURE PERMIT 1.00 r
SUPPLEMENTARY PERMIT _ .50`
TOTAL FEE $ APPROVALS
',l HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I`HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED_ BY LOS ANGELES COUNTY AND STATE--DF _ .
CALIFORNIA OR THAT V AM/THE LEGAL' OWNER OF THE _ABOVE POWER
DESCRIBED RESIDENTIAL-PROPERTY. ```
SIGNATURE' ! s s�'-1.�., r• UTILITY CO.NOTIFIED
OF PERMITTEE - '
FINAL
XJWDATIONARTi4UR-C.VEIT,
SUPERVISING ELECTRICAL ENGINEER
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