HomeMy Public PortalAbout9179 JAYLEE DR_Electrical_12/5/1956_fixtures 76A663'
DBS-SA it-55 APPLICATION ION FOR ELECTRIC PERMIT
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DBS-
DIVISION OF BUILDING AND.:SAFETY
Depar ent of County Engineer BUILDING i b
County Of LOS Angeles ADDRESS
JOHN A. LAMBIE,COUNTY ENGINEER
CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY
FOR~APPLICANT TO FILL IN NEAREST ` , OA,
PERMIT FEES CROSS ST.
<. NUMBER - OWNER '� k
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEJ-. NO. N
e
c: TOTAL OUTLETS @ 5¢ $ _ ELECTRICI N `
ELEC. RANGES 25
+ ADDRESS /G
ELEC. HEATERS 25
KW EA CITY. TEL. /
NO.0 -
STATE
FIXTURES 5 LICENSE NO.
MOTORSa*s ,. ;: �.-,a,r< . a.•� ,. ..
r 6 DISTRICT NO. GROUP ZONE^ READY FOR INSPECTION
' NUMBER HORSEPOWER FEE
NEW MVD. HP OVER INC. EACH
1/�&LESS $ .25 INSPECTION RECORD
Q
1/z 2 .50
s
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00
MISC. °
4;
t NO.SIGNS NO.TRANS.
C
i NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00
s '
SUPPLEMENTARY .50
APPROVALS
TOTAL FEE $ �Tn DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP CAT ON p
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT "23 l7
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. l
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES -�,
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGA OWNER.OF THE ROVE POWER y� p
DESCRIBED RESIDE NTi L PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL t .,�• r
p
JOHN A.LAMB COUNTY ENGINEERLIDATION ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR
� 3 0'r
MDEC 5 2 .3.84 �