HomeMy Public PortalAbout10017 LA ROSA DR_Electrical_2/24/1956_outlets, wall switches, receptacles Dp Ban APPLICATION FOR ELECTRIC PERMIT 1
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``DIVISION_OF BUILDING AND SAFETY -
Depwtment of County Engineer .�
County of Las Angeles ADDRESS BUILDING
WM.J. FOX. COUNTY ENGINEER -ADDRE55
CASSATT D. GRIFFIN,�SUP'T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERM FEES CROSS ST.
NUMBER EACH 'FEE
OWNER
LIGHT OUTLETS -
MAIL
-RECEPTACLES ADDRESS
WALL SWITCHES
TOTAL OUTLETS 5R $ CITY TEL.NO.
ELEC. RANGES 25 ELECTRICIAN / /t
ELEC. HEATERS 25 ADDRESS (iI / [�
KW EA //�� CITY TEL.NO. 3
FIXTURES fo 5 'LICENSE NO..
_NUMBER OF LIGHT CIRCUITS
OISTRICI ,O. {GROUP.I Z09F I READY FOA INSPECIIDN
NUMBER'OF RECEPTACLE CIRCUITS I .�, YXI CJY_� fTll3
MOTORS
rvuMeER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. ,HP OVER LNG EACN
.25
/2 2 .50
2 5 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 51.00
FIXTURES _ •$1.00 ^ ^
SUPPLEMENTARY .50 APPROVALS
_ TOTAL FEE i S DATE INSPECTOR'S SIGNATURE
I HEREBY•ACKNOWLEDGE THAT I, HAVE READ THIS'A .PLICATION' CONDUIT
AND STATE THAT THE ABOVE ICORRECT AND AGREE COMPLY WIRING
WITH ALL COUNTY ORDINANCES
S AND STATE LAWS-REGULATING
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT 1 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 I
DESCRIBED RESIDE TIAL PROPERTY. UTILITY CO.NOTIFIED �f0i 1
SIGNATURE / fi./ FINAL � a S � ���� it
OF PERMITT
WILLIAM J. , COUNTY ENGINEER _ VALIDATION A. C.VETT.CHIEF ELECT. INSPECTOR
J3 4 5 2, FE824 2 7,1 0 to .
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