HomeMy Public PortalAbout4808 CAMELLIA AVE_Electrical__ DBS-SA 11-SS APPLICATION FOR;ELECTRIC PERMIT �•
DIVISION OF BUILDING AND SAFETY
Department OI County EngineBi BUILDING '
County of Los Angeles ADDRESS IiR(l fi ('nmalia
JOHN A. LAM BIE.COUNTY ENGINEER
CASSATT D. GRIFFIN. SUPT OF BUILDING _ LOCALITY 'r FIm T)� n Cil tiy
FOR APPLICANT TO FILL IN rvEAREsr
PERMIT FEES cRo,SST. l,owor A7,uSa
[MBER
OWNER Mi 1. A Kn V
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESSWALL SWITCHES FEE TEL. NO.
TOTAL OUTLETS ® s2 3 • ELECTRICIANInn-I AA iy ',Son El Petri C
ELEC. RANGES 25 1�ADDRESS P v A41
ELEC. HEATERS 25CITYSO Sall Gabriel TEL. N&t. 0-200
KW EA STATE
FIXTURES 5LICENSE NO. �I Z7C-A7 (Q MOTORS DISTRICTNO. IGRUPI ZONE I READY FOR INSPECTION
HORSEPOWER FEE
VD. HP OVER INC. EACH
77 P & B. Y2 LESS s .25 . 5U INSPECTION RECORD
h 2 .50
2 5 1.00
5 15 1.50
15 50 2.50
s0 200 5.00
M ISC. Wt . V IU �l1lFS
NO. SIGNS NO.TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00 1 73 ,
FIXTURES $1.00 1 00 j wn
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE $ O DATE INSPECTORS SIGNATURE
I.HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUITWITH ALL
/
ELECTRICACOUNT
G.ORDINANCES AND STATE LAWS REGULATING WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY' S ANGELES COUNTY AND STATE OF "
CALIFORNIA OR THAT/I,AM THM EG WNER OF THE ABOVE POWER
DESCRIBED RESMENTIALIP ER
SIGNATURE 1 UTILITY CO.NOTIFIED
OF PERMITTEE 'FINAL Y y
JOHN A.LAMBIE, COUNTY ENGINEER VACATION ARTHUR C.VEIT,CHIEF ELECT. INSPECTOR
CrIl MO CAHH
'1Co71o3uu�1? 2 4.40 , E