HomeMy Public PortalAbout10935 FREER ST_Electrical__ • T
"A`°'
130:0-NA1!•64 APPLICATION FOR ELECTRIC PERMIT 7
� 1
DIVISION OF BUUMING AND SAFETY
Dep-ft-nt of County Engt—
Conatr of Lw Ang+d" null-01 of
WM.J. FOX, COUNTY lENa1NKQ! ADDRESS
CAIMATY D.42RIF71N, §UP'T OF SUItLIMO
FOR APPLICANT TO FILL IN LOCALITY
PFEMIT FEES NEA REST 4
CROSS ST.
NUMBER IIZACH FEE
LIGHT OUTLE•r9 OWNER
MAIL
/�RSCEPTACI RG
WALL SWITCHES ADDRESS IY I� /1
TOTAL OUTIETD 50 cni �TE
NO /^ LP
-jw 9 46
ELEC. RANGES 25 ELECTRICIAN
LLEC. HEATERS 25 ADDREAB D
KW EA '6 Cloit
c;;; TEL. NO.
FIXTURE➢ a LICENSE NO. 1
NUMBER OF LIGHT CIRCUITH
NUMB QIgCUITV DISTRICT NO. �GR P ONE I ■LAor ro, III.r ECTION
MOTORS 47/
NUMatn HORSEPOWER FEE ENSPE=ON RECORD
NCW MVD. HP OVLA IN4 LACH
a 25
2 .50
2 D 1.00
i
D 15 1.50
1 ID 50 250
I 50 200 5..00
MIlewG
NO. a1GNS NO.TRANS.
O NO LAM . '. .
F
WIRING fl.bo
FIX'TUR" 111,00
SUPPLE ENT _•50 .
APPROVALS
TOTAL FEE s / DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HHRAVE REAP THIS-APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS COkRECT AND AGREE TO COMPLY
WITH ALLL COUNTY ORDINANCES AND STATE LAWS REGULATING WIFZINa
ELECTRICAL. WIRING. -
1 HERPHY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS RHOUIRED BY LOS ANGELES COU D TAT$ 0
CALIFORNIA OR THAT I A THE LIZGAL OW OF ANTHSE POWER ABO F
DIZf CRIBED RSSIDEMTIAL P2 ERTY, • UTILITY NOTIFIED SIGNATURE
OF PERMITTEE FINAL
WILLIAM J. FOX,COUNTY ENamme VALIDATION