HomeMy Public PortalAbout5210AGNES AVE_Electrical (3) DEIS 5A If SB 63
DB8 APPLICATION FOR ELECTRIC PERMIT 1
DIVISION OF BMDING AND SAFETY
Depas ent of County Engineer j BUILDING ' /b
County of IAS Angeles ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY
PERMIT FEES APPLICANTFOR TO FILL IN NEAREST
c OSS ST
NUMBER OWNER
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL NO
TOTAL OUTLETS ® 52 $ D ELECTRICIAN -[iF/Y�KI
ELEC RANGES 25
ADDRESS
ELEC HEATERS 25
KW EA CITY a TEL NO ,6$444
a STATE
/ FIXTURES 5 LICENSE NO d
MOTORS DISTRICT NO OU ONE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE I ��
NEW I MVD HP OVER INC EACH
Yz 8 LESS S 25 INSPECTION RECORD
/ 14 2 50 Jr'p
2 5 too
5 15 1 SO
1S 50 2 50
50 200 500
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100 v �j
FIXTURES S102--
SUPPLEMENTARY
1 00 I U U
SUPPLEMENTARY 50
TOTAL FEE $ APPROVALS
DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
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 A THE LEGAL 0 NER 0 HE ABOVE POWER
DESCRIBED RESIDENTIAL 0 ER UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTE FINAL
JOHN A LAMBIE COUNTY ENGINMR VALIDATION, ARTHUR C VEIT CHIEF ELECT INSPECTOR
CK MO CASH
03 3 1 3 AUG 1 ? 2 65
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