HomeMy Public PortalAbout5923 KAUFFMAN AVE_Electrical__ 76A663-CES06-7.56 APPLICATION FOR ELECTRIC PERMIT
BUILDING AND SAFETY DIVISION
Department of County Engineer BUILDING ��,�[[
County of Los Angeles ADDRESS .+{9T
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES. -
NUMBER - OWNER
LIGHT OUTLETS - MAID -
RECEPTACLES ADDRESS
-
WALL SWITCHES FEE CITY TEL. NO. `
/ TOTAL OUTLETS @ 52 $ �S ELECTRICIAN
ELEC RANGES 25 ADDRESS S I -
ELEC.,HEATERS 25 CITY -TEL. NO.
KW EA STATE
FIXTURES 5 ZS LICENSE NO.
MOTORS DISTRICT NO. _I GROUP ZO,yy READY FOR INSPECTION
NUMBER I HORSEPOWER FEE Jt+" !]TJ
NEW MVD HP OVER INC. EACH
1/&LESS $ .25 INSPECTION RECORD
2 .50
2 5 1.00
5 15 1.50
15 •50 2.50
50 200 5.00 4-41- w JA10C hZ 4.4 ILS �,.C— A-/411C X
-r-0 gga C 0,1!n—
MISC.
NO. SIGNS NO. TRANS. -
NO. SIGNS NO. LAMPS
7-9
FOR EACH PERMIT- � f T
WIRING PERMIT $1.00 l UO IT-
1ie P/P4YE7"
FIXTURE PERMIT $1.00 ( Uo / STXL nT
SUPPLEMENTARY .50 APPROVALS `?-2J"iJ-7I A-
TOTAL FEE $ '06 DATE INSPECTOR'S
SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -- -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR - _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER '
CALIFORNIA OR THAT=THEOWNER OF THE ABOVE
DESCRIBED RESIDE UTILITY CO.NOTIFIED `L 4"1
SIGNATURE _
OF PERMITTEE `� FINAL 3"Z,6;S" 9A<
JOHN A. LAMBIE. ARTHUR C. VETT.
COUNTY ENGINEER � c MoO CASH CASH SUPERVISING ELECTRICAL ENGINEER
5 0 0 9-- FEB 11 2 3.0 0' In