HomeMy Public PortalAbout5033 ENCINITA AVE_Electrical__ 76A663-CE46-7-56 APPLI'CATION' FOR ELECTRIC PERMIT
BUILDING AND SAFETY DIVISION
Department of County Engineer BUILDING _
County Of LOB Angeles, ADDRESS Q
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES cRoss sr.
NUMBER OWNER
LIGHT OUTLETS MAIL
ADDRESS I—U 3
RECEPTACLES -
WALL SWITCHES FEE CITY TEL. NO.
TOTAL OUTLETS p' 5R $ ELECTRIC4,N
ELEC RANGES -25 ADDRESS IS
ELEC HEATERS 25 CITY TEL. NO. l ,
KW EA STATE
FIXTURES 5 -
LICENSE NO.
MOTORS •DISTR CT NO. ZONE READY FOR INSPECTION
NUMBER HORSEPOWER _ FEE 1GROUP
NEW MVD HP OVER INC EACH
LESS S. .25 INSPECTION RECORD
1/z 2 50-
2 5 1 00
5 15 1.50
15 50 250
50 200 500
M I SC
NO SIGNS NO TRANS. ,
NO SIGNS NO LAMPS
FOR EACH PERMIT ,
WIRING PERMIT S1 00
FIXTURE PERMIT ___ __ _ S-1.00--
SUPPLEMENTARY
1.00__SUPPLEMENTARY .50 m APPROVALS
TOTAL FEE $ DATE INSPECTORS SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT - -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
,WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR,THAT 1 AM THE LEGAL OYMER OF THE ABOVE
DESCRIBED RESIDENTIAL P OPERTY UTILITY CO.NOTIFIED
SIGNATURE-
OF PERMITTEE `C FINAL L
JOHN A. LAMBIE, ALIDA� SUPE R C. VETT,
COUNTY ENGINEER �
CK Mo cwsH' SUPERVISING ELECTRICAL ENGINEER
LAW 8,1 q 0 MAY 15 2 1 .0.0LO