HomeMy Public PortalAbout5222 DALEVIEW AVE_Electrical__ r ,
TDADDS"CEBOG10.56 APPLICATION FOR ELECTRIC PERMIT g
BUILDING•AND SAFETY DMSION
Department of County Engineer
County of Los Angeles ADDR 655 LJ L '� J✓� // �d�P///LbW !T"✓P
JOHN A. LAMBIE. COUNTY ENGINEER .....}+ /e /1 ../v
CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY J 13J�rN el X
FOR APPLICANT TO NEAREST
FILL IN '.CROSS s r Lo Y to U`
// PERMIT �TFEES
LIGHTS 1-/ RECEPTACLES /S�/ SWITCHES OWNER /��e-,1 r �t��✓� �y
NUMBER 1 T E M EACH FEE MAIL
qq ADDRESS �/[ /L L N• .DAA ��EMi�T ✓E-°
TOTAL OUTLETS $ .10 S .D y
2 EC. A G WATER HEATERS, / 00 CITY ��� TEL NO.
c THEs DDYE s .50 - ELECTRICIAN ,�O Y/Jw 1JSG Iao e9M 1
ELE0. SPACE ATERS� S�AT'T: COOK- f
RG�DNITB, GARBAG,E_DISPESER 1 "�� ADDRESS t9 �V, frC I-. 1
3 F TD�WATH , DISHWASHER 25 �� /1 p n
LIGHTING FIXTURES .10 CITY / G?-Is�,e//Gy. l r TEL. NO.(-Z-Q•Wye'
MOTORS LICENSE NO.STATE t I7 6 f'J
HORSEPOWER
H.P. OVER INC. DISTRICT NO. GRO/UUP I ZO�N./EJ READY FOR INSPECTION
1 e4f Fah I/x B LESS .25 .Z.S J .,(� / 1 /I b k/
h — 2 5OI INSPECTION RECORD '
2 5 1.00
5 15 1.50
15 50 2.50
�T
50 200 5.40U/. �..G CT l>'�
misc.
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SIGNS NO.TRANS
NO. LAMPS
SERVICE 0-500V 1.00
SERVICE OVER 500V 5.00
WIRING PERMIT 1.00 00 (/ -
FIXTURE PERMIT 1.00 f -
SUPPLEMENTARYPERMIT .50 APPROVALS
TOTAL FEES DATE INSPECTORS SIGNATURE
THEREBY ACKNOWLEDGE THAT i HAVE READ THIS"APPLIC ION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUITITH ALL
ELECTRICAL WIRING,ORDINANCES AND STATE LAWS REGULATING WIRING L ) rt IiM�y�✓✓/{
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR q ,FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANDwSTATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABO YE ` POWER
DESCRIBED RESIDENTOPER
SIGNATURE I///�/ UTILITY CO. NOTIFIED
OF PERMITTEE A t ' ',
FINAL
JOHN A. LAMBIE. }IALIDATION ARTHUR C.VETT.
COUNTY ENGINEER MO CASH SUPERVIG NG ELECTRICAL ENGINEER
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