HomeMy Public PortalAbout5522ALESSANDRO AVE_Electrical (3) DBS 5A 3 55 tl A LeICATION FOR ELECTRIC PERMIT
Y 1
DBS SA
DIVISION OF BUILDING AND SAFETY
Deportment of County Engmeer BUILDING
' Co1-nty of Los Angeles ADDRESS D
WM J FOX COUNTY ENGINECR
CASSATT D GRIFFIN SUP T OF BUILDING �^ /J
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST M/F-D o"a we C.)u AF
NUMBER EACH FEE �^
LIGHT OUTLETS OWNER L C 6 L
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES
TOTAL OUTLETS _ 5¢ $ CITY TEL NO ,[[
ELEC RANGES 25 ELECTRICIAN �6 � S//u
_ELEC HEATERS 25 ADDRESS 7�(2 Cy/[jL�' S (,
KW EA CITY ,l 6S E AV eA-D TEL NO
FIXTURES 5 LICENSE NO
NUMBER OF LIGHT CIRCUITS - DISTRICTWO GROUP LONE I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS I
MOTORS a�
NUMBER HORSEPOWER FEE INSPECTIOR RECORD
NEW MVD HP OVER I INC EACH
I/2&LESS $ 25
1/2 2 50
2 5 1 00
5 I5 1 50
15 50 2 50
50 200 500
MISC /3 °
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $1 00 1 dd
FIXTURES $1 00
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE g 25 DATE INSPECTOR S SIGNATURE
IO ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY �) %
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
1HEREBY CERTIFY THAT 1 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 RESIDENTI6 PROPE
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE FINAL
WILLIAM J FOX COUNTY ENGINEER VALIDATION A C VEIT CHIEF ELECT INSPECTOR
Y
I
; 1 4 5 7' JAm 4 2 1 25 1O
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