HomeMy Public PortalAbout5527 GRACEWOOD AVE_Electrical__ i 76"663 APPLICATION FOR ELECTRIC PERMIT 1
DBS-5A 3.55
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
_ COf3IIty Of I.OS Angeles BUILDING
WM.J. FOX. COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
NUMB EACH FEE �7
OWNER
LIGHT OUTLErTS
MAIL
RECEPTACLES ADDRESS
WAL65WITCHES
TOTAL OUTLETS 52 $ CITY TEL.NO.
ELEC.RANGES 25 ELECTRICIAN
_ELEC. HEATERS 25 ADDRESS Y
KW EA CITY TEL.NO
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRI�O. I GROUP ZONE I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS I
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
X12&LESS $ .25 _
1�2 2 .50
2 5 1.00
5 15 1.50
15 50 1 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 APPROVALS
TOTAL FEE $ DATE INSPECTORS SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PPLICAT CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGRE 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 ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM TqTE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIALPROPC
SIGNATURE _ UTILITY CO.NOTIFIED J
OF PERMITTEE I FINAL
WILLIAM J. FOX, CWUNTY ENGINEER VALIDATION A.C.VEIT,CHIEF ELECT. INSPECTOR
LAO
3 2 1 3 WC'1 t) �►� 4.3 5 a
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