HomeMy Public PortalAbout9717 DAINES DR_Electrical__ 76AB63-CES06-6-57 APPLICATION FOR ELECTRIC PE,RMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILD]N
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D GRIFFIN,SUPT OF BUILDING LOCAL(
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERM FEES -
OWNER
LIGHTS RECEPTACLES SWITCHES
NUMBER I T E M EACH FEE MAIL J�q
ADDRESStJl1
TOTAL OUTLETS 10 $ I
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 25 V
LIGHTING FIXTURES 10 —Ll CITY ^ TEL NO a '
MOTORS STATE /
LICENSE NO (p
HORSEPOWER
HP OVER INC (STRICT Nom, GROf P ON READY FOR INSPECTION
yz&LESS 25 ISO A f
1/2 z so I INSPECTION RECORD
2 5 100
IS 1s 1 so
15 50 250
50 200 500
MISG
SIGNSI NO TRANS
NO LAMPS
SERVICE O-600V 100 d
SERVICE OVER 600V 500
WIRING PERMIT 100
FIXTURE PERMIT 100 D l!
SUPPLEMENTARY PERMIT 50 APPROVALS
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS P LICATION DATE INSPECTORS SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES ��,i
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 0
CALIFORNIA A 1 AM„THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESID L P ERT o
SIGNATURE UTILITY CO NOTIFIED /
OF PERMITT FINAL
JOHN A.LAMBIE, LIDATION ARTHUR C.VEIT.
COUNTY ENGINEER MO CASH SUPERVISING ELECTRICAL ENGINEER
a
_,Q28 4 6,, OCT 1 2 11 .00 '