HomeMy Public PortalAbout5702AGNES AVE_Electrical (2) 76A663-CE806.7.56 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
Department of County Engineer
BUILDING i'
County of Los Angeles ADDRESS / d-2 h"7 41 5
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS T.
PERMIT FEES yy J �l
NUMBER OWNER h? e—�
LIGHT OUTLETS MAIL
ADDRESS
RECEPTACLES
WALL SWITCHES FEE CITY TEL. NO.
TOTAL OUTLETS @ 52 $ ELECTRICIAN Aa
ELEC. RANGES 25 ADDRESS 4�5 61
ELEC. HEATERS 25 CITY /� /�/!' li TEL.
KW EA STATE
LICENSE NO.
FIXTURES 5
MOTORS DISTRICT IGROUP I ZONE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE
NEW MVD. HP OVER INC.. EACH-
1/2&LESS $ .25 INSPECTION RECORD
1/Z 2 .50
2 5 1.00
5 15 1.50
15 50 1 2.50
50 200 1 5.00
MISC.
NO. SIGNS NO. TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING PERMIT $1.00
FIXTURE PERMIT $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT 11
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,WIRING
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LO NGELES COUNTY AND STATE OF POWER I
CALIFORNIA OR THAT I THF LEGAL dyNNER OF THE ABOVE
DESCRIBED RESIDENTIA RRTY� %y UTILITY CO.NOTIFIED 1 l ��Iw1" �-•�
SIGNATURE
OF PERMITTEE FINAL
JOHN A. LAMBIE. ATION ARTHUR C.VEIT.
COUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER
C MO CASH
f 6 1 2 5 MAR
1 .2 5 In