HomeMy Public PortalAbout5202 DALEVIEW AVE_Electrical__ 7GA665.CE006. 10.56 APPLICATION FOR ELECTRIC PERMIT
BUILDING AND SAFETY Divi SION-
Departraentof County Eagineex F
Countytment Of LOS Any lousngi JOHN A. LAMBIE. COUNTY ENGINEERC HN A. n. GRIFFIN. SUP'T ENGINuBG YT
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES
OWNER
LIGHTS RECEPTACLES SWITCHES "77
NUMBER I T E M EACH F'E MAIL
TOTAL OUTLETS $ .10 S
ADDRESS — �—
oeN
ccS, WATER HEATERS, CITY TEL. NO.
CLOT ERS ,50
ELEC. SPACE HEATERS, 5TAT'T, COOK, ELECTRICIA /
ING UNITS. GA BAGE DISPOSERS. ADDRESS17
( AUTO WASHERS, DISHWAS ,25 14
LIGHTING FIXTURES .10 CIT -gv . NO
MOTORS STATE 1
LICENSE NO.
HORSEPOWER - - -
H.P. OVER INC.. DISTR'I'j�VO. GROUP ZONE READY FOR INSPECTION
1/2 3 LESS .25 v
2 50 INSPECTION RECORD
2 5 1.00
5 15 1:50 V i '"—/�/L•" -�•
15 50 2.50
50 200 5.00 or
MISC. � >• __
SIGNS NO.TRLAMNS
NO.LAMPe '
SERVICE 0-500V 1.00 !✓r-
-SERVICE OVER BOOV 5.00WIRING PERMIT 1.00 L•
FIXTURE PERMIT. 1.00
SUPPLEMENTARY PERMIT .50 APPROVALS
FEE DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS IC ION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYCONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES W CA.,..
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT I AM THE LEGAL NER OF THE ABOVE. POWER
DESCRIBED RESIDE AL PROPERTY. / rf /,
SIGNATURE I UTILITY CO. NOTIFIED.I��Y�ty�
OF PERMITT 1.0 FINAL —/�"5
JOHN A. LAMBIE. }I$LIDATION ARTHUF2 C.VETT.
COUNTY ENGINEER Coil . Mo CAIN SUPERVISING ELECTRICAL ENGINEER
!_ACoz 1 6m APR 9 z a 1 3.60In