HomeMy Public PortalAbout4833 GLICKMAN AVE_Electrical__ 76A669
DEIS•5A 11,55
APPLICATION ELE
FOR CT P E R M I T
DIVISION OF BUILDING AND SAFETY
Department of County Eagiaeer BUILDING
County of LOS Angeles ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER n
CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
NUMBER OWNER �)j'.jfAMAIL
D LIGHT OUTLETS
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL.NO.
TOTAL OUTLETS @ 5¢ $ ELECTRICI
ELEC. RANGES 25
ELEC. HEATERS 25 ADDRESS
KW EA CITY TEL.NO.
STATE
D FIXTURES 5 „s LICENSE NO. 3
MOTOR11
S DISTRICT IG-rUP OE READY FOR INSPECTION
NUMBER HORSEPOWER FEE �7� d
NEW MVD. HP OVER INC. EACH
1h&LESS $ .25 INSPECTION ECORD
th 2 .50
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00 f
I
M ISC.
NO.SIGNS NO.TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00 fl
FIXTURES $1.00 B`fl
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ) ,
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE FINAL
JOHN A.LAMBIE.COUNTY ENGINEER4v
CATION ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR
K MO CASH
C09 0 6 4 2 4.5 In