HomeMy Public PortalAbout9818 LA ROSA DR_Electrical__ APPLICATION FOR ELECT C/PER IT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING L
BUILDING AND SAFETY DIVISION ADDRESS A •1G
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALI
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES cRoss Sr.
tiGL
ITEM NUMBER EACH FEE OWNER l
OUTLE 9 /1 A S $ n MAIL
LIGHTS O RECEPT4 BW. ]V .10 y a ADDRESS
LIGHTING FIXTURES Li .10 f 3J CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS °Z
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL. NO
GARBAGE DISPOSERS AUTO.-
STATE 7 `� STATE / D/
WASHERS STA.COOKING UNITS / .25 R✓ LICENSE NO, 1111 fff�!!!
MOTORS: OVER INC. H.P. DISTRICT NO. I GROUP I LINE I P CESSED BY
O— yz .25 S
l/.— 2 .50 INSPECTION RECORD
2— 5 7.00
s— Is 1.50
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICEO-600V 1.00 QO
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 t 00
FIXTURE PERMIT 1.00 f0�
SUPPLEMENTARY PERMIT
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVAL$ DATE INSPECTOWSSIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT /
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I THE LEGAL OWNER THE ABOVE
DESCRIBED RESIDENTIA O TY _ POWER
SIGNATURE /. UTILITY CO.NOTIFIEDIF
OF PERMITT C!� %
FINAL V
®. A ATION SU ERVISING EE IECTRICAL ENGINEER
CK MO CASH
9 1 1 8 APR 1.1 . 2 A 9.5 5
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