HomeMy Public PortalAbout5743 CLOVERLY AVE_Electrical__ 7GA663 CE806 756 APPLICATION FOR ELECTRIC PERMIT
BUILDING AND SAFETY DIVISION
Department of County Engmeer BUILDING //
County of Los Angeles ADDRESS J` T
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN, SUPT OF,BUILDINB LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST !
PERMIT FEES
NUMBER OWNER
LIGHT OUTLETS _ J MAIL — /�,�'/
RECEPTACLES ` ADDRESS , /O
WALL SWITCHES FEE CITY TE NO
TOTAL OUTLETS Cad 52 $ 5 ELECTRICIAN O • 6 i
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 CITY TEL NO
KW EA STATE
FIXTURES s LICENSE NO
MOTORS DISTRICT NO I GROUP_ NE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE G !)
NEW MVD HP OVER INC EACH
Ij2&LESS $ 25 INSPECTION RECORD
tfz 2 50 cam%
2 5 1 00
5 15 1 50
15 150 2 50
50 200 50042 ,
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING PERMIT $1 00 y
FIXTURE PERMIT $1 00 `
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE $ DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING FIXTURES
I HEREBY CERTIFY THAT�I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED B )-OS ANGELES COUNTY AND TATE OF POWER
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF HE ABOVE
DESCRIBED RESIDENTIA PERTY�� - UTILITY CO NOTIFIED
SIGNATURE
OF PERM[ FINAL
JOHN,A LAMBIE VALIDATION ARTHUR C VEIT
COUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
� o8367MAY 21 2 285 In