HomeMy Public PortalAbout5918 CAMELLIA AVE_Electrical__ 7aA69-jr7 APPLICATION FOR ELECTRIC PERMIT
COUNTT OF LOS AITIMM
DEPABTmm OF COUNTY ENGINEF.B BUILDING
BUELDENG AND SAFETY DIVISION ADDRS68
JOHN A.LAMBIE,CouNTY ENdrNoxg
CwssATT D.GRIMM,fLrrr or 1lulLnlNa LOCALITY cr
FOR APPLICANT TO FILL IN NEST
1/ PE WT FEES
69 OWNER
RtCJPTACLtf rwrrcl-m
ITKId MAIL
TOTAL OUTLh
ADDRESS 3,4
BTd 1
oaC. win, ■Arte 7[AT[il, CITY
CLOT>tu DRTKM Aso ELECTRI t
LU A At[ DISPOI!(1 ADDRwaa
AD TO ■ � .2D O _
Z/ LIGHTING FUTURES .10 8 cITY TSL NCr. J
MOTORSSTATE r"
LICIU45E NO
HORSEPOWER
Ovxpt INGGRQ-UP DTSMt�Mo &I Dy FOR 1"FICTION
./ a Lm YD B
2 DO ngSP=ON RECORD
2 — D 1.00
5 — Is LOU � l O
ID — 00 2.150 61A)
150 — 200 D.w
1+Isa
SIONL'J Ho.TRANS
NO.LAMPS AI:a 2ejjsM2�
Eimmcx O_DOOV 1.00
SERVICE OVMR 1500V 15.00
WERING PERMIT 1.00
FIXTURE PERMIT 1.0.0
SUPPLEMENTARY PERMIT .250 AMOVAI3
TOTAL FEE
I HEREBT ACKNOWLEDGE THAT I HAVE READ THIS tUCATION DA INBPHCTOR'd SIGXATU
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COYPLT 'CONmUIT O 9".
WITH ALL COUNTT OILDINAACES AMD STATE LAWS REGULATINGELECTRICAL ■IRING. WIRING 1 HEREBT CERTIFT THAT 1 Ai PROPERLT RH'GISTERED) AND/ORLICEMM AS REQUIRED HT LOd GELES COUNTY AMD STATE OFPIX'R1REH
CALIFOR�tA OR T =AlrLE OF ABOVE PIWIRDESCHIB RFSIDIi71
SIG NAI uRE UTI L I TY CO.N OT7 FI aD
OF PERE
JOHNA I AMBLE, kTION ARTHUR C
�0 TY Etlaixl�e 14Pi1SVI�E1(G$1.raTluawL lLlKalxlme
CAAH
LACO 4 6 1 1 OR SEP 10 2 A 2120 ;R
m.