HomeMy Public PortalAbout4914ALESSANDRO AVE_Electrical 76A663-CE606-7.56 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
Department of County Engineer BUILDING
County of Los Angeles ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES
NUMBER OWNER
LIGHT OUTLETS MAIL
ADDRESS
RECEPTACLES
WALL SWITCHES FEE CITY TEL. NO.
TOTAL OUTLETS @ 52 $ —ELECTRICIAN
ELEC. RANGES 25 ADDRESS
_ ELEC. HEATERS 25 CITY TEL. NO.
KW EA STATE +!
LICENSE NO.
FIXTURES 5
MOTORS DISTRICT NO. GROUP I ZONE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE
NEW MVD. HP OVER INC. EACH —25
1/2&LESS $ .25 INSPECTION RECORD
i/2 2 .50
2 5 1.00
5 15 1.50
15 50 2.50
50 200 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 I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .�7
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING [ �- ` -• •>
ELECTRICAL WIRING. FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL (-�-
JOHN A. LAMBIE, VALIDARTHUR C. VEIT.
COUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER
CK CASH