HomeMy Public PortalAbout5233ALESSANDRO AVE_Electrical A663
DBS SAA 9 53 FOR OR ELECTRICTRIC PERMIT
T 1
DIVISION OF BUILDING AND SAFETY ti
Department of County Engmeer
County of Los Angeles BUILDING '
WM J FOX COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY �
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST
NVMj5ER EACH FEE
OWNER
LIGHT OUTLETS I
RECEPTACLES 1 MAIL
ADDRESS
WALL SWITCHES
TOTAL OUTLETS 5¢ $ CITY TEL NO
ELEC RANGES 25 ELECTRICIAN cly
_ELEC HEATERS 25 ADDRESS
KW EA CITY A TEL NO a�
FIXTURES 5 LICENSE NO
NUMBER OF LIGHT CIRCUITS ` + DISTRICT NOMP E READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITSIji4NE
MOTORS
NUMBER HORSEPOWERFEE INSPECTION RECOR
NEW MVD HP OVER INC EACH
1/2&LESS $ 25
1/z 2 50
2 5 1 00
5 15 1 50
15 50 2 50
50 200 Boo
0
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $1 00 a
FIXTURES $1 00
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE Is DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLIcA1riON CONDUIT I 1!
STATE THAT
H CORRECT
AGREE
ALL COUN YORDINANCESANSTATE LAWS
TO COMPLY
WITH REGULATING WIRING
ELECTRICAL WIRING / -
IHEREBY CERTIFY THAT 1 AM PROPERLY REGIS D D R FIXTURES
LICENSED AS REQUIRED LOS ANGELES OU Y AN T F
CALIFORNIA OR THAT M THE LEGA O T VE POWER
DESCRIBED REST TEAL P OPERTY
SIGNATURE UTILITY CO NOTIFIED Zi0 7c'Ga
OF PERMITTEE FINAL
WILLIAM J O COUNTY ENGINEER VALIDATION A C VEIT CHIEF ELECT INSPECTOR
AC0 6 7 7 Fy 1 JUN 7 2 575 In