HomeMy Public PortalAbout5720ALESSANDRO AVE_Electrical 76A663-CE606.7.56 �gPPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
Department of County Engineer BUILDING
County of LOS Angeles ADDRESS Or
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN. SUP'T OF BUILDING LOCALITY
NEAREST /
FOR APPLICANT TO FILL IN cRDss sT. L
PERMIT FEES
NUMBER OWNER jP
LIGHT OUTLETS MAIL
ADDRESS
RECEPTACLES
WALL SWITCHES FEE CITY TEL. NO.
TOTAL OUTLETS Q 5Q $ ELECTRICIAN ,+ F 1
ELEC. RANGES 25 g.S ADDRESS !?.S I L 6aV (! 5�7�
ELEC. HEATERS 25 CITY &OSdZ,r1 TEL. NO.
KW EA STATE
XTURES 5 LICENSE NO.
FI
MOTORS DISTRICT NO. I GROUP I ZONE I READY FOR INSPECTION
+. NUMBER HORSEPOWER FEE
NEW MVD. HP OVER INC. EACH �• f
112&LESS $ .25 INSPECTION RECORD
1/2 2 .5 o
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 1 HAVE READ THIS APPLICATION I CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _WIRING `�a
ELECTRICAL WIRING. FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR n
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL-qROPEI UTILITY CO.NOTIFIED �r� ��gf.•�I�d'
SIGNATURE
OF PERM ITFINAL A
JOHN A. LAMBIE. ILIDATION ARTHUR C.VEIT.
COUNTY ENGINEER CK/ MO CASH SUPERVISING ELECTRICAL ENGINEER
LAC0 8 6 4 0- fj A.,; 2,9 2 1 .2. 5