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HomeMy Public PortalAbout5916 KAUFFMAN AVE_Electrical__ DBS-SA•11-88 nl APPLICATION FOR ELECTRIC PERMIT 1 D88.8A DIVISION OF BUILDING AND SAFETY Dep my ent Of County Engineer FB ILDING �'` COuntp of Los Aag6168 DRESS 'S JOHN A. LA BIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING1122=- CALITYI'll, If- i FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. d NUMBER OWNER 1C LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES FEE CITY TEL. O. TOTAL OUTLETS ® S¢ $ ELECTRICIAN ELEC. RANGES 25 ELEC. HEATERS 25 ADDRESS KW EA CITY TEL.NO. STATE FIXTURES 5 LICENSE NO. MOTORS DIST RIC NO. I GROUP I ZONE I READY FOR INSPECTION NUMBER HORSEPOWER FEE R .3 NEW MVD. HP OVER INC. EACH F >�$LEI-692s INSPECTION RECORD 1/z 2 .50 2 5 1.00 1 S 15 1.50 15 1 50 2.50 . 50 200 5.00 LJ�Ur 1�C`_-7WA) ///1 T /IV T. �AhF' �t/��i dt�E�li�lc" © So i�f/Al�rei��y DAYS'�' FFS'Tif.�i,L NO.SIGNS NO.TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT: WIRING $1.00 C7 b FIXTURES $1.00 SUPPLEMENTARY •50 ` [ APPROVALS TOTAL FEE $ r J 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 O I fVW ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I M THE GA ER OF THE ABOVE POWER DESCRIBED RESIDE PERT . / SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL -h pr (/,1" 7t•,Q�I� JOHN A.LAMBIE. COUNTY ENGINEER Vrti ATION ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR CK MO CASH f,0:7 3 7 4'Ln JUN 2 5 2 1 .5 Q t' ,Q