HomeMy Public PortalAbout10144 DAINES DR_Electrical__ 78A693-CEB06-10-EG APPLICATION FOR ELECTRIC PERMIT -�
BUILDING AND SAFETY DIVISION
Deportment of County EngineerBUILDING /§ w
County of Los Angeles ADDRESS ff
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN. >SUP.T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN _U2212—T.
PERMIT FEES
OWNER
LIGHTS •RECEPTACLES SWITCHES
NUMBER - ITEM EACH FEE "MAIL
ADDRESS'
TOTAL OUTLETS $ . $
f0 •• -
ELEC' RANGES, WATER HEATERS, CITY, 'TEL.•NO. ,
CLOTHES DRYERS 50
ELEC SPACE HEATERS, STAT'Y COOK- - ELECTRICIAN
'ING UNITS, GARBAGE DISPOSERS, 'ADDRESS �.
AUTO ,WASHERS, DISHWASHER ZS
LIGHTING FIXTURES Ab CITY TEL. NO.
MOTORS_ STATE
LICENSE NO '
HORSEPOWER
H.P OVER - INC. r DISTRICT GROUP I INE READY FOR INSPECTION
mod-
1/2 &LESS .25 -
1j� - 2 so , INSPECTION RECORD
5 1.00
5, 15 1 50
15 50 2.50
50 200 5.00
MISC.
SIGNS I NO TRANS _ +
NO LAMPS
SERVIQk:O•-600V 1.00
SERVICE OVER 600V• 5,00
WIRING PERMIT 1.00 0 '
FIXTURE PERMIT .1.00
SUPPLEMENTARY'PERMIT. .SO ,APPROVALS
TOTAL FEE S DATE INSPECTOR'S SIGNATURE
1HEREBY ACKNOWLEDGE THAT L HAVE READ'THIS APPLICATION
AND STATE^THAT THE ABOVE IS CORRECT.AND AGREE TO COMPLY CONDUIT
WITH 'ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �-
ELECTRICAL WIRING. WIRING t/9
I HEREBY CERTIFY THAT IAM PROPERLY REGISTERED-AND/OR 'FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL,OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIALOP TY. 1
SIGNATURE UTILITY CO. NOTIFIEb '/
•OF PERMITTEE FINAL �G
JOHN A. LAMBIE. VALIDATION ARTHUR C.VETT: '
COUNTY ENGINEER px MO CASH _ - SUPERVISING ELECTRICAL ENGINEER'
r6,9:5„ AW'2 7 2 1 2'.1 0
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