HomeMy Public PortalAbout10018 LA ROSA DR_Electrical_5/25/1955_outlets, receptacles, light switches 76A663 R ELECTRIC - PERMIT
APPLICATION Y 9®IV FO
DBS-SA 12-56 '1
DIVISION OF BUILDING AND SAFETY '
Department ofCoufity Engineer
County a1 Los_Angeles - eultowc '
WM. J.FOX, COUNTY'ENGINE ER ADDRESS
CASSATT D. GRIFFIN. SUPT SOF BUILDING im.2wm
mmmmi
FOR APPLICANT TOFILL IN mcAurYPERMIT FEES NEAREST ,CROSS STEACHLiGHrourLErst/� IQr�IF -RECEPTACLES .MAIL
ADDRESS -
WALLSWITCHESTOTAL OUTLETS 5! 5 CITY -
ELEC. RANGES •` 25 ELECTRICELEC. HEATERS' 25ADDRESSKW EA
CITY � NOSFIXTURES 5 - LICENSE NO
NUMBER OF LIGHT CIRCUITS .DISTRICT NO. GROUP ZQ NE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS. -
MOTORS L+
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC.. EACH -
1/'3&LESS $ .25
I
IY2 .2 .50
1.00'
5 -
_-- 15 50_ - 2.50 - _ -
50 200 5.00 -
NO. SIGNS. NO. TRANS. I NO. SIGNS NO LAMPS -
FOR EACH PERMIT:
WIRINGSLOG. -
FIXTURES $1.00
SUPPLEMENTARY 50 /wl APPROVALS -
TOTAL FEE S �y DATE/ INSPECTORS 551GNAT RE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ('CONDUIT
AND STATE THAT THE-ABOVE IS CORRECT AND AGREE TO LUMPILY -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING .WIRING
.'ELECTRICAL WIRING.-
I HEREBY CERTIFY THAT IAM-PROPERLY REGISTERED ND/>R FIXTURES
LICENSED'AS' REDD IRED A
LO
BY S NGELES',COUNTY AND STATE F yPOWER
CALIFORNIA OR THAT 1 AM THE-LEGAL OWNER OF THE A OVE
DESCRIBED RESIDENTIAL OPERTY. I '
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITT EE - FINAL
WILLIAM J+,FOX. COUNTY ENGINEER - .VALIDATION
2.7' .
O gi
v 25 2
' - - i DEPUTYi