HomeMy Public PortalAbout4849AGNES AVE_Electrical (3) ES SA 1f$9
DAPPLICATION FOR ELECTRIC PERMIT
DBS$A
DMSION OF BURDUM AND SAFETY
DepODHment of County Engineer BUILDING
County Of Los Angeles ADDRESS
IrIffl—
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PEEM FEES CROSS ST
NUMBER OWNER iCPlt/��.,c,yc 1i
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL NO
TOTAL OUTLETS @ s¢ 8 jo ELECTRICIAN
ELEC RANGES 28 ADDRESS -
ELEC HEATERS 25
KW EA CITY TEL N Cr, I
STATE nn
FIXTURES B LICENSE NO
MOTORS DISTRICT O I �GR✓OUP I ZONE
NE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE flhh f
NEW MVD HP OVER INC EACH
/ 1h&LESS S 28 INSPECTION RECORD
)� 2 so
2 s 100
S is Iso
is SO 250
50 200 500
M ISc
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING 3100 d O
FIXTURES $100
SUPPLEMENTARY s0 APPROVALS
TOTAL FEE S DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
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 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS OUIRED BY L �IGELES COUNTY AND STATE OF
CALIFORNIA OR AT I NE�LEGAL OWN OF HE ABOVE POWER
DESCRIBED RESIDE 0 ERTY
SIGNATURE'1 UTILITY CO NOTIFIED
OF PER E FINAL �,� �fi�..-.....
JOHN A LAMBIE COUNTY ENGINEER ATION ARTHUR C VEIT CHIEF ELECT INSPECTOR
CK MO CASH
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