HomeMy Public PortalAbout10017 LA ROSA DR_Electrical_2/3/1956_outlets and receptacles - APPLICATION FOR ELECTRIC-PE
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359 RMIT 1 �
De SSA
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
WM..J'. FOX, COUNTY ENGINEER- ADDRESS
CASSATT D. GRIFFIN. SUPT OF BUILDING -
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
.NUMBER EACH FEE 'OW [/ Yrn / F .S/ 71-Al
LIGHT OUTLETS tek-MAIL p �/
RECEPTACLES _ ADDRESS /-�
WALL SWITCHES
TOTAL OUTLETS' Y 52 $ O CITY G TEL, O.
ELEC. RANGES 25 ELECTRICIA
_ELEC. HEATERS 25 ADDRESS
KW EA CITY TEL. NO.
FIXTURES 1 1 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRICT,NO. GROUP ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS ; I I ,
MOTORS
NUMBERHORSEPOWER INSPECTION RECORD
.
NEW MVD. HP OVER IFEE NC. I EACH
I/4&LESS $ .25
Vr 2 .50
2 5 1.00
5 15 1.50
15 5o 2.50
"50 200 5.00 '
NO.SIGNS NO.TRANS. -
NO.SIGNS NO.LAMPS _
FOR EACH PERMIT'
WIRING 51.00. "
FIXTURES $1.00-
SUPPLEMENTARY .50 Y APPROVALS
TOTAL FEE DATE INSPECTORS SIGNATURE
I HEREBY ACKNOWLEDGE THAT I .HAVE.READ THIS,APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
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
CALIFORNIA OR TH T I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDEN IAL PROPERTY.
SIGNATURE UTILITY CO. NOTIFIED
OF PERMITTEE l f - FINAL
WILLIAM J. O COUNTY ENGINEER VALIDATION A. C. VEIT, CHIEF ELECT. INSPECTOR
L&250 �- FEB 3 2 1 .10 m