HomeMy Public PortalAbout4949AGNES AVE_Electrical (4) 76A669 CE806 756 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
Department of County Engmeer FADDRESS
LDING
County of Los Angeles 4211 6A U
JOHN A LAMBIE COUNTY ENGINEER l
CASSATT D GRIFFIN SUP T OF BUILDING ALITY
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES %�
NUMBER OWNER kJQ
LIGHT OUTLETS MAIL
ADDRESS a
RECEPTACLES 7
ALL SWITCHES FEE CITY TEL NO --777/7
79
TOTAL OUTLETS @ 52 $ l ELECTRICIAN c
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 CITY TEL NO
KW EA STATE
FIXTURES 5 ) LICENSE NO
MOTORS DISTRICT NO I GROUP ZONE READY FOR INSPECTION
NUMBER HORSEPOWER FEE
NEW MVD HP OVER INC EACH
1�8 LESS S 25 INSPECTION RECORD
1/2 2 50
2 5 100
5 15 1 50
15 50 250
50 200 1 500
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING PERMIT $100
FIXTURE PERMIT $1 00
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE $ DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I 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 f �1
ELECTRICAL WIRING o
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY�GELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT I A T LEGAL OW.V OVE
DESCRIBED RESIDENTI L 0 RTY UTILITY CO NOTIFIED
SIGNATUREOF PERM TTEE FINAL
JOHN A LAMBIE VALIDATIQII� ARTHUR C VEIT
COUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER
CK MO CAS
LAC053934 TIAR25 2 250 In