HomeMy Public PortalAbout6000 CAMELLIA AVE_Electrical__ DN-DA 11,04
APPLICATION FOR . C-TRIC PERMIT
DIVISION OF BUILDING AND SAMY
Depoxlmvnt of.County Engtn—
Coont7 -of Iwo Amo" eu I LD 1 NG
WMJ. FOX, CouNTY-ENGiNmcK DD Ecs
CASSA. D, GRIF1•IN, SVP'T 6F WUrLDIMO
FOR APPLICANT TO FILL IN LOCALITY
PEMICT FM NEAREST
CROSS ST.'
NUMBER W-ACH FES
L1GHTCUTLsrs OWNER
RECEPTACLES MAIL 4orr
Ad DR ESB
WALL 8WITCHEG '
TOTAL OUTLETS .150 s CITY TEL. NO,
ELEC. RANGED =6' ELECTRIC AN
ELEC, HEA X26 ADDRESS
MIA/EA CITY TEL. NO
FIXTUREO LICE NO.
NUMBER OF LIGHT CLRCUITH
DISTRICT NO. GROUP ZONE RUDY Mo Im-KcrloR
MOTORS � r�y�
IIUMaCR HORSEPOWER FEE INSPLz..=ON RECORD
NCW I(VD, HP oVilf INCL [ACk1 -
LW 111 36
2 uo
2 6 7.00
e to 1,)50
16 po .t.ed
190 zoo 6.00
M18
NO. SIGNS NO.TRANS.
ION LAMPS .
FQR r
WIRING
FIXTURES 1.00
2UPPLEM6 A ,- 60
. APPROVALS
TOTAL FSE DATE INSPECIOWS SIGNATURE
I HEREBY A� MOW DGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT TH ABOVE 13 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES A1fD STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISMED Ally/OR FIXTRES
PMOWNBED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
U£R '
FORNIA OR THAT 1 THE LEGAL OWNER OF THE ABOYC -
DESCRIBED RfAIDENTI PERTY• FUTILITY CO.NOT FIE.D
E
-
SIGNA UR
OF P�RMITTE Fi NAL
WILLIAM J. FOX, COUNTY Eimimmmt. VALIDATION 2 2.80 s►
0329 zr
MGRY 3
6Y
D[PurY