HomeMy Public PortalAbout9635 LAS TUNAS DR_Electrical_6/1/1955_outlets TB
DBS-5A 12-54 APPLICATION FOR ELECTRIC PERMIT ],
•5A
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles
BUILDING
WM. J. FOX, COUNTY ENGINEER ADDRESS (D
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN LOCALITY
PERMIT FEES NEAREST
CROSS ST.
NUMBER EACH FEE ��
LIGHT OUTLETS_ _OWNER �J� ok
RECEPTACLES MAIL Y"
ADDRESS
WALL SWITCHES T
TOTAL OUTLETS 1 __50 $ AgS7 CITY TEL NO.
_ ELEC. RANGES 25 _ELECTRICIAN
ELEC. HEATERS 25 _ ADDRESS .S !O
KW EA CITY TEL. NOZZ A?
FIXTURES 5 LICENSE NO.
_NUMBER OF LIGHT CIRCUITS
NUMBER OF RECEPTACLE CIRCUITS jj22
DISTRIC3'NO. UP ZONE I READY FOR INSPECTION
MOTORS C
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
i12&LESS $ .25
I/2 2 .50
2 S 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
FIXTURES $1.00
SUPPLEMENTARY 50
$ � pS... APPROVALS
TOTAL FEE DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I 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 I AM THE LEG OWNER OF THE ABOVE
DESCRIBED RESIDEENNT.IAA6 PP OP
SIGNATURE \ /Jt 7ER UTILITY CO.NOTIFIED r f
OF PERMITTEE���.IJJ �" FINAL 1
WILLIAM J. FOX. COUNTY ENGINEER VALIDATION 5 In
r0 C l DEPUTY