HomeMy Public PortalAbout10656 ARROWOOD ST_Electrical_8/16/1955_electric ranges DBS-5A 3.55 .APPLICATION FOR ELECTRIC PERMIT
.DBS-5A
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles B...E G ��-
WM.J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING -
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
I.NUMBER EACH .FEE
LIGHT OUTLETS OWNER
MAIL
RECEPTACLES ADDRESS 1
WALL SWITCHES
TOTAL OUTLETS g¢ $ CITY Aof TEL. NO.
�f�
ELEC. RANGES 25 _ELECTRICIAN 'f �_. "-% � _1*1tJf
J
_ELEC. HEATERS 25 ADDRESS �
KW EA I CIT ,1., TEL.NO I)).
FIXTURES I S LICENSE NO.
NUMBER OF LIGHT CIRCUITS
DISTRICT NO. GROUP I ZONEADY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS RE
NUMBER I HORSEPOWER I FEE INSPECTION RECORD
NEW MVD. HP OVER INC. 'EACH
_ 112&LESS $ .25
.I2 2 .50I _
2 5' 1.00
5- 15 1.50
15 50 I 2.50
50 200 - 5.00
MISC,
4
NO.SIGNS NO.TRANS. - -NO.SIGNS NO.LAMPS.
FOR EACH PERMIT:'
WIRING $1.00
FIXTURES .$1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE $ I DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE-READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY n
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING, WIRING'
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR TH I AM, THE LEGAL OWNER OF THE ABOVE POWER
DENT
DESCRIBED.RESIL PR@PP.ERTY. -41
UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
WILLIAM J. FOX,,JCOUNTY ENGINEER VALIDATION A.C.VEIT,CHIEF ELECT. INSPECTOR
V Co 6 7 0 0- AUG 16 2 1 .2 5
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