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HomeMy Public PortalAbout4926ALESSANDRO AVE_Electrical (2) 08S-5A 8.55 APPLICATION FO ■ ELECTRIC PERMIT 1. DBS-SA • DIVISION OF BUILDING AND SAFETY Deportment of County Engineer n County of Los Angeles BUILDING WM.J. FOX, COUNTY ENGINEER _ADDRESS CASSATT D. GRIFFIN.SUPT OF BUILDING ---'�' LOCALITY _ /.✓ C..y. FOR APPLICANT TO FILL IN NEAREST ®� PERMIT FEES CROSS ST. jg, 0fis» NUMBER EACH FEE r OWNER LIGHT OUTLETSMAIL -F/� f-y RECEPTACLES .ADDRESS �p WALL SWITCHES TOTAL OUTLETS _ 5¢ $ d CITY �//� TEL. NO-47 .5 ELEC. RANGES 25 ' ELECTRICIAN ELEC. HEATERS 25 ADDRESS KW EA CITY TEL. NO. FIXTURES 5 LICENSE NO. NUMBER OF LIGHT CIRCUITS - DISTRICT NO. �OfV� READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS ,{ / MOTORS JGROUP ��� NUMBER I HORSEPOWER FEE INSPECTION RECORD NEW MVD. HP OVER INC.' EACH 1/2&LESS $ .25 _ 1/2 2 .50 2 5 1.00 5 15 1.50 15 50 2.50 50 I 200 1 5.00 MISC. NO.SIGNS NO.TRANS. NO.SIGNS NO. LAMPS _ FOR EACH PERMIT: I . WIRING $1.00 d� FIXTURES 51.00 6 SUPPLEMENTARY .50 APPROVALS TOTAL FEE S `© 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 A WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 9� .1�'aA,A..*�.�• '� d ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL P OPERTY. i �J�J C1 UTILITY CO_NOTIFIED, 1 `"--�; SIGNATURE O"� . ,�,ee OF PERMITTEE I FINAL -E'? v WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A. C.VEIT.CHIEF ELECT. INSPECTOR' W &567711 JUL 2 3.10 to m