HomeMy Public PortalAbout5546ALESSANDRO AVE_Electrical TBAPPLICATION FOR ELECTRIC PERMIT
IT 1
DBS 55A 9 95
A
DIVISION OF BUILDING AND SAFETY
Department of County Engmeer
County Of LOS Angeles BUILDING � O
WM J FOX COUNTY ENGINEER ADDRESS �•/ c7J
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEARESTMI
PERT FEES CROSS ST /
NUMBER EACH FEE
LIGHT OUTLETS OWNER t9
MAIL
RECEPTACLES ADDRESS
WALL SW ITCHES
TOTAL OUTLETS 5¢ $ CITY TEL NO
ELEC RANGES 25 ELECTRICIAN.y
_ELEC HEATERS 25 ADDRESS f C7
KW EA CIT +y TEL N
FIXTURES 5 LICENSE NO
NUMBER OF LIGHT CIRCUITS DISTRICT NO GROUP g�J E READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS /�" /
MOTORS /r
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW 11 MVD HP OVER I INC EACH
1/2&LESS $ 25
1/Z 2 50
2 5 100
5 15 150
15 50 2 50
50 200 500
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100 �Q
FIXTURES $1 00
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE S D DATE INSP CTOR S SIGNATURE
I HEREBY 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED S A GEL S COUNTY AND STATE OF
CALIFORNIA OR THAT AM H LE L OWNER OF THE ABOVE POWER A
DESCRIBED RESIDENTI L OP T VIP5/_ -46
UTILITY CO NOTIFIED yea
SIGNATURE
OF PERMITTEE FINAL �1 U
WILLIAM J FOX COUNTY ENGINEER VALIDATION A C VEIT CHIEF ELECT INSPECTOR '
_&7 5 1 7,;R JUN 238 2 130 �