HomeMy Public PortalAbout5516 CLOVERLY AVE_Electrical__ � APPLICATION
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DOSSAI1 '.S!r /_,►1 PLICATION FOR ELECTRIC PERMIT 1
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer BUILDING
County of Los Angeles ADDRESS
JOHN A LA BIE.COUNTY ENGINEER
CASSATT D GRIFFIN. SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES c oss ST
NUMBER OWNER
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CI TEL NO
TOTAL OUTLETS @ 5¢ $
ELECTRICIAN
ELEC RANGES 25
ADDRESS
ELEC HEATERS 25
CITY TEL NO
KW EA
STATE _
FIXTURES g LICENSE NO 111�����1���111
MOTORS DISTRICT f� I GROUP� &ONEI READY FOR INSPECTION
NUMBER HORSEPOWER FEE ✓7�
NEW MVD HSP/ OVER INC EACH INSPECTION RECORD
LESS $ 25
Yz 2 50
2 5 100
5 1 15 150
15 50 250
50 200 500 f
I
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100
FIXTURES $1 00
SUPPLEMENTARY 50 S APPROVALS
TOTAL FEE $ DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS TPLICAnFON
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
r
I HEREBY 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 LEGAL OWNER OFABOVE POWER
DESCRIBED RESIDEN OPERTY
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE FINAL Z
JOHN A LAMBIE.COUNTY ENGINEER ATION ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR
CK MO CASH
�5080 APR13 2 .75 P
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7GA663 t,
DBS SA II Ifs APPLICATION FOR ELECTRIC PERMIT 1
Dr%FISION OF BUILDING AND SAFETY
Department of County Engineer BUILDING P—
County of Loa Angeles ADDRESS I
JOHN A LA BIE, COUNTY ENGINEER S
CASSATT D GRIFFIN, SUPT OF BUILDING LOCALITYAr
tl
FOR APPLICANT TO FILL IN NEAR ST L
PERMIT FEES Leju
NUMBER OWNER
LIGHT OUTLETSM�IL
��77 � /
riL RECEPTACLES ADDRESS pC-.t' J '� /�
WALL SWITCHES FEE CITY NO
TOTAL OUTLETS @ S¢ $
ELECTRICIAN/
ELEC RANGES 28 ADDRESS /
ELEC HEATERS 25 S
CITY eyoEL NO
KW IF-A STATE
FIXTURES 5 LICENSE NO
MOTORS DIST�IC NO I GROUP I ZONE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE
NEW MVD HP OVER INC ~,EACH INSPECTION RECORD
1fz R LESS $ 25 �t
1h 2 SO
2 S too
n o T
5 Is 1 50
15 50 250
50 200 500
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100 ! co
FIXTURES $1 00 c c
SUPPLEMENTARY SO APPROVALS
TOTAL FEE $ DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL CATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING Z 3
ELECTRICAL WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES L{
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF TM ABOVE POWER
DESCRIBED RESIDENT OPERTY
SIGNATURE UTILITY CO NOTIFIED -J
OF PERMITTEE ' FINAL n
JOHN A LAMBIE.COUNTY ENGINEER W�LIDATION ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR
CK MO CASH G
�0 4 7 9 6,- rj n 0
'APR
7rA663D55 5A 3 55APPLICATION FOR E L E V T R I V PERMIT ER ® IT
DIVISION OF BUILDING AND SAFETY
Depoxtment of County Engmeos INS Raw
County of Los Angelos BUILDING
WM J FOX COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN SUP T OF BUILDING
opmInRINNIME 'I LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST U e� w
LIGHT OUTLETS NUMBER EACH FEE
OWNER
RECEPTACLES MAIL h.
ADDRESS o�
WALL SWITCHES
TOTAL OUTLETS 5¢ $ CITY NO
ELEC RANGES 25 ELECTRICIAN
ELEC HEATERS 25 ADDRESS
KW EA CITY TEL NO
FIXTURES 5 LICENnNl v
NUMBER OF LIGHT CIRCUITS - DISTRICT NO GROUPZ„ONE READY F R INSPECTION
NUMBER OF RECEPTACLE CIRCUITS ` s+� I I� /i,I /:
MOTORS ///�11 V
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD HP OVER I INC EACH
112&LESS $ 25 �
1f2 2 50
2 5 1 00
5 15 1 50
15 50 250
50 200 500
e
MISC f
NO SIGNS i NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $1 00 J
FIXTURES $1 00
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE 5 D DATE INSPECTOR S SIGNATURE
IOACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY n
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
IHEREBY CERTIFY THAT I 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 TbK ABOVE POWER
DESCRIBED RESIDENT P OPERTY1p
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE 1 FINAL %I
WILLIAM J FOX. COUNTY ENGINEER VALIDATION A C;VEt'T.,CHIEF ELECT INSPECTOR
I
3 9 2 65- MAR 9 2 1.1. 0 �
0