HomeMy Public PortalAbout5761ALESSANDRO AVE_Electrical (2) DEIS-5 .;3 APPLICATION FOR ELECTRIC PERMIT 1
DB5.5A.�•55
VIVISION OF. BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING ��� n0, i������_t��
WM.J. FOX, COUNTY ENGINEER ADDRESS 4 ,yi � e` K6
CASSATT D.GRIFFIN, SUPT OF BUILDING - �Gi•
LOCALITY bq^ b ti
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST. o
NUMBER EACH FEE
OWNER MP V °
LIGHT OUTLETS _ MAIL
RECEPTACLES ADDRESS
WALL SWITCHES 4 1f
TOTAL OUTLETS 5¢ $ CITY ed" /�- C 11 TEL.NO.RT(0'64p �
ELEC. RANGES 25 ELECTRICIAN e �t~ �� GIA 011°
_ELEC. HEATERS 25 ADDRESS / @e-o t7 ,p�
KW EA _ CITY m�PP 1? TEL.NO. I�� 9Nl
FIXTURES � 5 � LICENSE NO. S fA
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GROUP I Z READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS ' y
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
1112&LESS $ .25 _
1�2 2 .50
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 �L4$ t®Z�� $1.00 °q 0�
FIXTURES $1,00 -V 0
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE g , 5 DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I.HAVE READ THIS APPLICATION CONDUIT I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING aI
ELECTRICAL WIRING.
I HEREBY 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 RESIDENTIAL P OPERTY. !
SIGNATURE / UTILITY CO.NOTIFIED p
OF PERMITTEE L% � (- ,f.�J'/-Z.l�✓!�✓ FINAL \ ^i ^� 1�. at"' ra _ ....,�•-,'
WILLIAM J.FOX, COUNTY ENGINEER VALIDATION A. C.VEIT,CHIEF ELECT. INSPECTOR
Ar07423SEP 2 2 2.55
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