HomeMy Public PortalAbout9431 GARIBALDI AVE_Electrical__ °"°°'
�° APPLICATION FOR ELECTRIC PERMIT 1:
DrJMON OF BUILDINO AND SAFETY -
Deparhu-t of Commti Engt— eu1LDINa
CotmIq C U Los �E ADDRL'88
Y WM.J. COUNTY Na1N®R
CA"ATT 0.GRIFFIN.OLrp T of■umbims
LOCALITY
OR APP CANT TO FILL IN NI�,RE8Y
cRdae ar.
NU DIIR EACH FEE
LIGHT OUTLETA OWNS
MAIL
IRECEPTACLE& I,A�DDFUE"
rWALL 8WITCHE-9
TOTAL OUTLETS CITY
TtL,NQ-
RANGE* D ELECTRICI +�C"1iEA'fERS YD ADDRESS N EA CITY TE NO -
FIXi'UREd 8
NUMDER OF LIGHT CIRCUITS - DISTRICT NO. GROUP ZONE IL FO[INSPECTION
NUMDER OF'RECEPTACLE CIRCUIT*
.MOTORS i �T
N [.
UM[ R WORSE OWER �I,E � II ON RD
R[W MVD. I HP 'OV[R I— XA\C}I
t L[[J 26
2 .60
7LDY 5 1.00
6 1.60
DO 2.MO
ISO Y00 6.00
LF nmo ,
NO.*IONS NO:TRANS. '
O SIGNS NO LA P$
FOR EACH PER T•
WIRING 1.00
FIX-t UPt EA 11.00
SUPPLEMENTARY DO A AMOVAIS
TOTAL FEE DATE INSPECTOR'S SIGRATURE
1 HEREBY ACKNOWLEIDG9 THAT I HAVE .0
READ THIS APPLICATION . ONDUIT
AX-D STATE THAT THE ABOVE 1pp CORRECT AND AGREY TO COMPLY
YFFTH ALL COUNTY ORgINANCE8 AND STATE LAWS REGULATING WIRING
ELECTRICAL FIRING.
I HEEff��EBY CERTIFY THAT I AM PROPERLY E ISTEMD AND/OR FIXTURE*
LICENEEQ AS REQUIRED BY L'OS ARGELES COU AXD STATE O!
CALIFppRXIA OR THAT I- AM THE LEGAL OWN OF THE ABOVE POWER
DESCR+BED RESIDENT
oPR TY. 5?2
UTILITY C.O.NOTIFIED
SIGFiATURE
OFFf�PERMITTEE FINAL
WILLLkm J.><OX,couKw ENGLNKJM VALmAIION A.C.VEM CHI17 ELECT.INSPff-9TOR
Cog 4L 2 9U-) OCT 10 2 5.4 5 . in
r
APPLICATION FOR ELECTRICAL PERMIT 'I
COUFM OF LOS ANGEL=S
DRFARTKU41T OF COUNTY ISNQfN]IIM EUIIS11No
lIUILDIIIQ II�NND a!►PZtTY DIVIaION ADDRUMS
7-7
JOF�!A.IAM>AQ. QoUNr1r Imre
WILLIAM A.JENSW, EUr^r OF IIuILDU1s LOCALITY
FOR APPLICANT To FILL IN
PBWH FBS OWNER
T t M Nu LABN rxx
MAIL L
LIGHTS R>ilk �T. UW. # t0 ` ADDREHa
LIGHTING FIXTURES .10 CITY Tin-No.
XS C3,0. DRIM" SO ELECTRIC
Af
w A r L R H %A T%R S s0 ADDRE68
11=STALL HTRS. DLSHwASH33ts CITY4.1
No.
GARRAOX DISPCM M ALrrO_ NATE
uc�les No.
rASKJOW bTA.00010"UMTS •ss
MOTORS+ ovDt uta. Nr. DI 1 c G P
0 — 3i Q
.s0 MSPK1lON ORD
>a —
is 1.00
O
!I 111 r.ea U
IS — DO 2.170 OC
O
ISO — :Roo 15.00
SIGN& NO 5'RANs.
NO.LAi[rs
HERVICE O-6oOV 100
QSRVICX QVSR EooV 5.00
MISC.
WIRING PERMrr 1.00
FIXTURE PERMIT 1.00
QUPPLEMKWrARY PERMTI O
TOTAL FEE i
I HDUMT A@LNOVIua>oz THAT I NAvi RLAD THIS ArruaArcm APPROVALQ DAT% rNar%ar s srQNATURi
AND gTAT%THAT TNN ASOY% LS CORRLCT AND AORDL TO OgYTLY CONDUIT
WROU
H A" COUNTY =ONJMK NOAs AHD STAT% LAWS lIXOULATINb
D.iaTltlgkL.WIRING. WIRING 0
1 HDIA>!Y a0mrY THAT I AN PROTDtLY 1tAOISTODD AND/OR 0.
L1CIltIIILD As RAQUIRZD SY LOS ANGLLLS COUNTY AND STATL OF FUTURES
CALJrORNLA OR THAT I AW T IK O'WNDI OF THA "OV% Povnm
DK&MURLD RAs]
HIGNATURE A
UTIL"CO. NOTIFI®
OF PMRMIrf WINAL
p i
VALiDAl10 UR C.VV-IT.
m[ Mo
�A SLIPERv18ING El,ICCI'RICAL E�IGINQR
LACo 4 8 9 94 PR 4 2 D 2.5d r,
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