HomeMy Public PortalAbout5336ALESSANDRO AVE_Electrical (3) 09
DEIS$A 12 54 APPLICATION LICP TION FOR ELECTRIC PERMIT 1
DBS
o DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County Of Los Angeles BUILDINGS— /
WM J FOX COUNTY ENGINEER ADDRESS l0 I IR/ A i4�
CASSATT D GRIFFIN SUP T of BUILDING / r
FOR APPLICANT TO FILL IN LOCALITY
PERMIT FEES NEAREST
CR
FEE OSS ST .(j►+LLaF�-�'�Q L�(�L
NUMBER EACH
LIGHT OUTLETS j_ OWNER I
RECEPTACLESMAIL / ^_ I -/�
ADDRESS /s //
WALL SWITCHES q
TOTAL OUTLETS 50 S CITY r IILZ � TEL NO73
ELEC RANGES 25 ELECTRICIAN + 11
ELEC HEATERS 25 ADDRESS
KW EA
CITY TEL NO
FIXTURES ,� 5
LICENSE NO
NUMBER OF LIGHT CIRCUITS
DISTRICT O I GROUP Z�N I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS /�G,J
MOTORS 7 �oC
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD HP OVER INC EACH // f
112&LESS $ 25 L-_.
_ '/2 2 50
2_ 5 1 00
5 15 150
15 50 2 50
50 1 200 500
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS `
FOR EACH PERMIT
WIRING $1 00 -0e ._ cr,.
FIXTURES $1 OO f—
`
SUPPLEMENTARY 50 —
,, APPROVALS
TOTAL FEE S /� DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICA ION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
FIXTURES a
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY J u e+
UTILITY CO NOTIFIED
SIGNATURE
OF PERM ITTE FINAL
WILLIAM J FOX COUNTY ENGINEER VALIDATION 2.7 0
_ACO 4 3 8 2 ,Stl 6 2
BY
® �� 'd �£PUTY
t rr%%