HomeMy Public PortalAbout4874 FRATUS DR_Electrical__ 76A661 APPLICATION
B ® yp.�. Ig�� PERMIT DBS 5A355 A PLICY" TI®N 9 O Y ELECTRIC 0 E iMIT
DIVISION OF BUILDING AND SAFETY
r Deportment of County Engineer
County of Los Angeles r%9'' BUILDING /
WM J FOX, COUNTY ENGINEER G ADDRESS ////
CASSATT D GRIFFIN, SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST
NU EACH FEE
OWNER i
LIGHT OUTLETS
MAIL ]
RECEPTACLES ADDRESS
WALL SWITCHES /
TOTAL OUTLETS / ,� ��'� 5¢ $ iCITY TE/L NO
ELEC RANGES 25 ELECTRICIAN
i
_ELEC HEATERS 25 `� ADDRESS
KW EA CITY
FIXTURES 5 E LICENSE
NUMBER OF LIGHT CIRCUITS - DISTRICT NO 1GROUPIZONE1 READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS •+++►��� /T
NUMBER HORSEPOWERFEE INSPECTION RECORD _
_
NEW MVD HP OVER INC EACH
j 1 `
/ /2&LESS $ 25
1/2 2 50
2 5 100
5 15 1 50
15 50 2 50
50 200 1 Boo
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100 r�
FIXTURES SI 00 �-
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I 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
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED)BY LOS ANGEL COUNTY A1-')STATE OF
CALIFORNIA OR THAT AM THE LEG OWNER F HE ABOVE POWER �
DESCRIBED RESIDENTI P RTY
UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
WILLIAM J. FOX. COUNTY ENGINEER VALIDATION A C.VEIT. CHIEF ELECT INSPECTOR
�t;Q 8 3 9 9 MANY 21 2 5.9 5 10