HomeMy Public PortalAbout5353 BUTTONS AVE_Electrical__ APPLICATION FOR ELE�NR C
663
5A 3 S3
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles ADDRES BU ND11S - y�
WM.J. FOX, COUNTY ENGINEER .
CASSATT D. GRIFFIN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
NUMBER EACH
FEE J
OWNER 7
LIGHT OUTLETS'
MAIL
RECEPTACLES �i ADDRESS
WALL SWITCHES
TOTAL OUTLETS _ SC $ CITY TEL. NO. . J
ELEC. RANGES 25 ELECTRICIAN (�
ELEC.-HEATERS 25 ADDRESS
KW EA CITY TEL. NO.
FIXTURES 5 LICENSE O_ 449
NUMBER OF LIGHT CIRCUITS
DIST NO. I GROUP Z NE I READY FOR IxsPEcnox
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC, EACH
Vt a LESS S .25
/2 2 .50
2 5 1.00
5 15 1.50
IS 50 2.50. 1
-III' 50 200 5100
C
N IGNS .NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $100
.SUPPLEMENTARY .50 APPROVALS
TOTAL FEE S I Id DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I, HAVE READ THISAPPLICATIONCONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
1HEREBY 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 LEGA ER OF THE ABOVE POWER
DESCRIBED RESIDENT[ L ERTY
• SIGNATURE UTILITY CO. NOTIFIED p tj�6
OF PERMITTEE FINAL
WILLIAM J. FO COUNTY ENGINEER VALIDATION A. C.VEIT,CHIEF ELECT. INSPECTOR
u o 3 82 4 e lfAA b 2 1 .10 In
DBS
76 OBA 663-5A APPLICATION FOR ELECTRIC PERMIT9 55
DIVISION OF BUILDING AND SAFETY -i
Department of County Engineer
County of Los Angeles ADIDREIN 53
WM.J. FOX. COUNTY ENGINEER
CASSATT D. GRIFFIN. SUPT OF BUILOING t
LOCALITY
FOR APPLICANT TO FILL IN NEAREST ®- +
PERMIT FEES CROSS ST.
TREACH FEEOWNER
LIGHT OUTLETS MAILRECEPTACLES MAIL WALL SWITCHES
TOTALOUTLETS s CITY TEL. NO.
ELEC.RANGES ELECTRICIAN
_ELEC. HEATERS 25 ADDRESS
KW EA / CITY TEL.NO.
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCU ITS DISTRICT NO. GROUP ZA E. NEADT FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS /1J
MOTORS f .•rn(. -
NUMBER HORSEPOWERFEE. INSPECTION RECORD
NEW MVO. HE I OVER INC. I EACH
&LE55 $ .25 JG_
lh 2 .50 _
2 5 1.00
5 IS 1.50
5 50 250
"-11 50 200 5.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT;
WIRING $1.00 ��
FIXTURES $1.00 _Ips
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE REAP THIS AP LIGATION CONDUIT A
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY J
-
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. 1
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY'AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENT AL PE Y. UTILITY CO. NOTIFIED �.e
SIGNATURE ,
OF PERM ITTEE FINAL
WILLIAM J. FOX.COUNTY ENGINES VALIDATION A. C.VEIT.CHIEF ELECT. INSPECTOR
4 3 4 1 N MAR21 2 7.85 m
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