HomeMy Public PortalAbout5830 ENCINITA AVE_Electrical__ p8A663.CEBDfiS-56 APPLICATION FOR ELECTRIC PERMIT
BUILDING AND SAFETY DIVISION
Department of County Engineer BUILDING ' Q
County of Los Angeles ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES f
NUMBER OWNER
LIGHT OUTLETS MAIL
ADDRESS
RECEPTACLES
WALL SWITCHES FEE CITY --TEL. NO.
TOTAL OUTLETS CNS s¢ $ ELECTRICIAN
ELEC. RANGES 25 ADDRESS U OQA.i
ELEC. HEATERS 25 CITY TEL. NO. ie_
KW EA STATE �
LICENSE NO. J
FIXTURES - 5 70,
MOTORS DISTRICT NO. (GROUP I ZONE READY FOR INSPECTION
NUMeEN HORSEPOWER FEE
NEW MVO. HP OVEP INC. EACH
1�4 LESS s .25 INSPECTION RECORD
_ h 2 .50
2 5 1.00
5 1 15 1.50
5 50 2.50
50 200 5.00
MISC.
NO. SIGNS NO. TRANS.
NO. SIGNS NO. LAMPS _
FOR EACH PERMIT:
WIRING PERMIT $1.00
FIXTURE PERMIT 51.00
SUPPLEMENTARY .S O APPROVALS
TOTAL FEE S DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT /
WIITHS ALL THAT COUNTYE ABOVE IS ORDINANCES ANDECTATELAWS D ETO COMPLY
REGULATING WIRING /as ��LAW"—
�..
ELECTRICAL WIRING. FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER A
CALIFORNIA OR THAT I AM THE LEGALAW F THE VE
DESCRIBED RESIOENTI PROPERTY. UTILITY CO.NOTIFIED 1 �7 VAI �. ..�
SIGNATURE
OF PERMITTEE FINAL
.. ..a. .cam
JOHN A. LAMEKV LIDATION ARTHUR C. VETT,
COUNTY ENGIN NO ASH
SUPERVISING ELECTRICAL ENGINEER
C
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