HomeMy Public PortalAbout4847 FRATUS DR_Electrical__ 76AG63 APPLICATION FOR ELECTRIC PERMIT 1
DBS-5A 3.55
DIVISION OF BUILDING AND SAFETY
Department of County Engineer ,s' —
County of Los AnLee.. /�7 rL11AL,TY
LDI s
WM.J. FOX, COUNTY NEER J
CASSATT D. GRIFFIN, SUPUILDI G
MUM
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
NUMBER EACH FEE
LIGHT OUTLETS OWNERMAIL , v p -✓ .X
el
RECEPTACLES A0DRES3' X,�
WALL SWITCHES 1119 `
TOTAL OUTLETS _ 51� $ CITY 24 /a a{ TEL. NO.' ~
ELEC. RANGES 25 ELECTRICIAN,.
ij
ELEC. HEATERS 25• ADDRESS_
J
KW EA - _ CITY ..O/ -LEL. NO.
,
FIXTURES l/ 5 LICENS NO. A ,-
NUMBER OF LIGHT CIRCUITS
- DISTRICT NO. GROUP ZONJ I IyJ_ADY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS I
. -MOTORS -
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. I HP OVER I. INC. EACH
11/2 2 .50
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00
misc.
NO.SIGNS NO.TRANS. -
NO.SIGNS NO LAMPS
FOR EACH PERMIT:
WIRING $1.00
'FIXTURES $1.00' —
SUPPLEMENTARY .50 3yy(( APPROVALS
TOTAL FEE s fs/LJ Q DATES INSSPECT R'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING / •G ��'
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERS ND/OR FIXTURES
LICENSED AS REQUIRED Y LOS ANGE 5 COU TY AN TE OF f
CALIFORNIA OR THAT AM HE LE L OW ER 'OF ABOVE POWER
DESCRIBED RESIDENTIA
SIGNATURE _ UTILITY CO. NOTIFIED
OF PERMITTEE I FINAL
WILLIAM J. FOX, COUNTY ENGINEER' VALIDATION A. C.VEIT.CHIEF ELECT. INSPECTOR
[�Co8 3 9 1 4 MAY 2.1 '-2 5.9 5 In