HomeMy Public PortalAbout10134 DAINES DR_Electrical__ 76A663CE606-7.56 APPLICATION FOR ELECTRIC PERMIT
BUILDING AND SAFETY DIVISION dd��
Department of County Engineer BUILDING Q
County of Los Angeles ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER /.
CASSATT D. GRIFFIN, SUPC
T OF BUILDING LOCALITY —17
FOR APPLICANT TO FILL IN cRoss sr.
PERMIT FEES
NUMBER OWNER
LIGHT OUTLETS MAIL
ADDRESS
RECEPTACLES
WALL SWITCHES FEE CITY TEL. NO.
TOTAL OUTLETS Oa 5Q $ ELECTRICIAN
ELEC RANGES 25 S� ADDRESS tr
ELEC HEATERS 25 1b. CITY TEL.
MCMF'E-A Old-~1 STATE
LICENSE NO.
FIXTURES 5
MOTORS DIST NO. I GROUP ZONE READY FOR INSPECTION
NUMBER HORSEPOWERFEE
/
NEW MVD HP OVER INC EACH
&LESS $ 25 INSPECTION RECORD
I/2 2 50
2 5 1 00
5 15 1 50
15 '50 250
50 200 Boo
M ISC
NO SIGNS NO TRANS.
NO SIGNS NO. LAMPS
FOR EACH PERMIT
WIRING PERMIT $1 00 0 _
FIXTURE PERMIT $1 00
SUPPLEMENTARY 50APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT / _AND ,
LY
WITHSTATE THAT HE ABOVE IS ALLCOUNTYORDINANCES C AND STATE LAWS ORRCT AND EREGUL TTO ING WIRING S z
5 7
ELECTRICAL WIRING. FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT 1 &M T E LEGh O NER OF THE ABOVE
DESCRIBED RESIDE IALAqOP RTY. UTILITY CO.NOTIFIED 7 W
SIGNATURE
OF PERMITTEE FINAL 1 7
JOHN A. LAMBIE. AX$LIDATION ARTHUR C. VEIT.
COUNTY ENGINEER (`- MO CASH SUPERVISING ELECTRICAL ENGINEER
CK
},07763- 2 8.6
MAY En
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