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HomeMy Public PortalAbout5819 CLOVERLY AVE_Electrical__ 76AGU-Ce00e E-59 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER CASSATT D GRIFFIN,SUPT OF BUILDING LOCALITY I If FOR APPLICANT TO FILL IN NEAREST PERM FEES CROSS ST Qd ITEM NUMBER I EACH FEE OWNER [E'E- N $ $ MAIL RECEPT BW 10 ADDRESS FIXTURES 10 CITY TEL NO ES CLO DRYERS }� ELECTRICIAN TER HEATERS s0 (/ ADDRESS 9� EHTRS DISHWASHERS CITY TEL NOISPOSERS AUTO- STATE �p �/STA COOKING UNITS 2S LICENSE NO {P k 4 OVER INC H P D1STR1 T NO GROUPONE P ESSED BY O— 1/2 25 1/2— 2 so INSPECTION CORD 2— s 100 s— is ISO 1s— so 250 1 SIGNS NO TRANS NO LAMPS LC C-' /A AM �- rl SERVICED-600V 100 SERVICE OVER 600V Soo v MISC WIRING PERMIT 10 0 I FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 50 TOTAL FEE $ j! 1 HEREBY ACKNOWLEDGE THAT t HAVE READ THIS APPLICATION APPROVALS DATE INS_P OR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING t HEREBY CERTIFY THAT 1 AM 'PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP TY _ POWER SIGNATURE L UTILITY CO NOTIFIED OF PERMITTE FINAL b d OF IDATION ARTHUR CEIT, CK MO CASH SUPERVISING ELECTRICAL ENGINEER ' Tn 7 2 7 8 NOV 10 2 A 1 .5 0 i6A DBS 5A 9 55 APPLICATION FOR E,LEC Y RIC PERMIT MIT 1 DBS SA DIVISION OF BUILDING AND SAFETY Department of County Engmeer / County of Los Angeles BUILDADDRESS O C WM J FOX COUNTY ENGINEER CASSATT O GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST NUMBEREACH FEE c^ OWNER cJ171el �S LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES TOTAL OUTLETS 5¢ $ /JJ CITY TEL NO ELEC RANGES 25 ELECTRICIAN A e3 �y ELEC HEATERS 25 ADDRESS / KW EA CITY TEL NO FIXTURES 5 i LICENSE NO _ _6 157 - NUMBER OF LIGHT CIRCUITS - DISTRICT NO I GROUP I ZONE I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD HP OVER I INC I EACH 1/2&LESS $ 25 _ 1/z 2 50 2 5 1 00 5 15 1 50 15 50 2 50 1-1 50 200 Soo MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT �J n WIRING $1 00 C! FIXTURES $1 00 SUPPLEMENTARY 50 APPROVALS TOTAL FEE $ / I© DATE INSPECTOR S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY , WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING aai�� 5� / ELECTRICAL WIRING IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BYL,0,9-,ANGELES COUNTY AND STATE OF CALIFORNIA OR THATrAPROPE TH LE L OW OF THE ABOVE POWER A DESCRIBED RESIDENTIAR UTILITY CO NOTIFIED ''G I10 ►`I�CCCL�{.t+-e-.a��.+ SIGNATURE OF PERMITTEE FINAL tl M WILLIAM J FOX.COUNTY ENGINEER VALIDATION A C.VEIT,CHIEF ELECT INSPECTOR I ( 1ACo6082�I MAY 1 2 105 In