HomeMy Public PortalAbout10534 DAINES DR_Electrical__ 76AAS CE90C 756 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
Department of County Engineer BUILDING
County of Los Angeles ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D GRIFFIN. SUPT OF BUILDING LOCALITY .01
NEAREST If
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES
Nu A01IR OWNER
LIGHT OUTLETS MAIL
ADDRESS
RECEPTACLES
WALL SWITCHES FPIE CITY TRW<0
TOTAL OUTLETS @ 52 $ ELECTRI Of
ELEC RANGES 25 ADDRESS Z
ELEC HEATERS 25 CITY TEL NO. O
KW EA STATE
LICENSE NO
FIXTURES 5
MOTORSDISTRIC O GRO ZONE READY FOR INSPECTION
NUMBER HORSEPOWER• FEE I 14:1NEW MVD HP OVER INC EACH
1/2&LESS $ 25 INSPECTION RECORD
1//2 2 50
2 5 1 00
5 15 1 1 50
15 5 0 250 -�s> A
50 200 5 00
MISC
NO SIGNS' NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING PERMIT $100
FIXTURE PERMIT $100
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE $ DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE AT I HAVE READ THIS APPLICATION CONDUIT - !
AND STATE THAT THE ABO IS CORRECT AND AGREE TO COMPLY WIRING
WITH ALL COUNTY ORD ANCES AND STATE LAWS REGU ATING
ELECTRICAL WIRING
I HEREBY CERTIFY .T I AM PERLY REGISTER D/OR FIXTURES
LICENSED AS REQU D Y LOS G S UNTY AN S E OF OWER •�/,/[!+q �,(/, // /
DESCRIBEDN.CALIFORARESI NA PMO TH ER (F UTILITY CO NOTIFIED
SIGNATURE _ //77 7
OF PERM ITT FINAL 'f Y
JOHN A. LAMBIE, AVDATION ARTHUR C. VETT.
COUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER
MO CASH
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