HomeMy Public PortalAbout5737ALESSANDRO AVE_Electrical �.n. 4-,
76AG63 CES06 ,036 APPLICATION FOR ELECTRIC PERMIT
BUILDING AND SAFETY DIVISION
Department of County Engineer BUILDING D
County Of Los Angeles ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN Ross ST. awl
PERNIIT FEES
LIGHTS RECEPTACLES SWITCHES OWNER
NUMBER I T E M EACH FEE MAIL
ADDRESS
TOTAL OUTLETS $ 10 $
ELEC RANGES ATER HEATERS CITY TEL N
CLOTHES DRYERS 50 ELECTRICIAN (,
ELEC SPACE HEATERS STAT Y COOK
ING UNITS GARBAGE DISPOSERS ADDRES
AUTO WASHERS DISHWASHER 25
LIGHTING FIXTURES 10 CITY TEL NO — C
MOTORS STATE
LICENSE NO
HORSEPOWER
H P OVER INC DISTR ICj_U0 GR9/_LIP ZONE READY FOR INSPECTION
y2 IN LESS 25 .21 —j-
1/2 — 2 50 INSPECTION RECORD
2 5 1 00
5 15 1 50
15 — 50 2 50
50 200 5 00
MISC
SIGNS NO TRANS
NO LAMPS
SERVICE 0 600V 100 d a
SERVICE OVER 600V 5 00
WIRING PERMIT 1 00
FIXTURE PERMIT 1 00
SUPPLEMENTARY PERMIT 50 APPROVALS
TOTAL FEE DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING g "7
I 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 RESIDENTI OPE TY
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE 1
FINAL
JOHN A LAMBIE VALIDATION ARTHUR C VEIT
COUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
�h 6 5 a� OCT23 2 250 M