HomeMy Public PortalAbout9635 LAS TUNAS DR_Electrical_8/11/1955_WIRING DBS-5A 12.54 APPLICATION FOR ELECTRIC PERMIT 1
DBS-5A
DIVNION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
WM.J. FOX. COUNTY ENGINEER ADDRESS 9635 E. Las Tunas Dr
CASSATT D. GRIFFIN. SUPT OF BUILDING
FOR APPLICANT TO FILL IN LOCALITY Temple City
PERMIT FEES CROSS ST
FEE . Camellia Ave
NUMBER EACH a ltal CO En
LIGHT OUTLETS OWNER CP� mP T
RECEPTACLES MAIL 9635 E. Las Tunas Dr
_ADDRESS
WALL SWITCHES Temple Cit Calif
TOTAL OUTLETS 50 S CITY A y! TEL. NO.
ELEC. RANGES 25 ELECTRICIIIANP
ELEC. HEATERS 25 11
_ ADDRESS L.A. �e�N. ain Street
KW EA CITY Al2 TEL. NOC" Z 11.1
FIXTURES 5
LICENSE NO.
NUMBER OF LIGHT CIRCUITS
DISTRICT NO. I GROUP ZONE � READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS II,
^ w w
MOTORS l► p/
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
_ 1�&LESS S •25
1/2 2 .50
2 5 1.00
5 15 1.50 _
15 50 2.50
50 200 5.00.---
misc.
.00MISC.
NO. SIGNS one NO. TRANS. fve
NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING S1_00 _
FIXTURES $1.00
SUPPLEMENTARY I
APPROVALS
TOTAL FEE $ 2.1 25 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. --
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT t M THE LEGAL OW OF THE ABOVE —
DESCRIBED RESIDENTI 0PERT
UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
WILLIAM J. FOX.COUNTY ENGINEER VALIDATION
a.Co652nuc11 2 2.25
BY
O / ^r DEPUTY
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