HomeMy Public PortalAbout5954ALESSANDRO AVE_Electrical 76 AS63 APPLICATION E O ■ ELECTRIC PES iY V■IT
DBS 5A 3 55
DIVISION OF BUILDING AND SAFETY
Depcatment of County Engineer
County-of Los Angeles ADDRESNG
S + -
WM J FOX COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST
NUMBER EACH FEE l
OWNER
LIGHT OUTLETS
RECEPTACLES MAIL
ADDRESS
WALL SW ITCHES
TOTAL OUTLETS 5� $ CITY TEL NO .�
ELEC RANGES - 25 '* ELECTRICIAN
_ELEC HEATERS 25 ADDRESS
KW EA CITY /� 1 TEL NO
FIXTURES 5 LICENSE NO ♦ <�
NUMBER OF LIGHT CIRCUITS
DISTRICT NO I GROUP I ; I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
NUMBER I HORSEPOWER INSPECTION RECORD
I FEE
NEW MVD HP OVER L INC EACH
1/2&LESS $ 25
-
2 5 too I
5 15 1 50
15 50 2 50
50 200 500
i
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $1 00 �C-7
FIXTURES $1 00
SUPPLEMENTARY 50 1 APPROVALS
TOTAL FEE $ / DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
1HEREBY 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 RESIDENTIAL PROPERTYO
SIGNATURE 2 A UTILITY CO NOTIFIED
OF PERMITTEE '�'v t� `may" FINAL
WILLIAM J FOX COUNTY ENGINEER VALIDATION A C.VEIT CHIEF ELECT INSPECTOR
' _ ' 2014;� NMIf5 2 125 in