HomeMy Public PortalAbout10306 LIVE OAK AVE_Electrical__ DBS-SA 3.55 APPLICATION FOR ELECTRIC PEOMIT
DIVISION-OF BUILDING AND SAFETY
Department of County Engineer �j +�
County of Los Angeles BUILDING ' 7�
WM.J. FOX. COUNTY ENGINEER ADDRESS / 7 f�
CASSATT D. GRIFFIN. SUPT OF BUILDING J ,
agamKilmlam
LOCALITY
FOR APPLICANT TO FILL IN f'
PERM FEES NEAREST
CROSS ST �
NUMBER EACH FEE
OWNER
LIGHT OUTLETS
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES `
TOTAL OUTLETS 5¢ $ CITYTEL NO
1
ELEC RANGES 25 _ ELECTRICIAN
_ELEC HEATERS 25 ADDRESS
KW EA CITY TEL.NO. 7 lore
FIXTURES 5 J'-1 LICENSE NO
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. GROUP ppaa,, READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS ///J cia✓
NUMBER HORSEPOWERFEE INSPECTION RECORD
NEW MVD HP OOER I INC EACH
1/2&LESS $ 25 •'
1/2 2 50
2 5 1 00 Y. -
5 15 150
15 50 2 50
50 200 5 00
misc.
NO SIGNS NO.TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $1 00 �/�"•V
FIXTURES $100 11-0
SUPPLEMENTARY .50 APPROVALS -
TOTAL FEE S �J DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I' HAVE READ THIS APPLICATION CONDUIT It
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRINGIA
ELECTRICAL WIRING. I F
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE 'ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE �� UTILITY CO.NOTIFIED
OF PERMITTEE FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT. INSPECTOR
3.95
ACo 3998-- MAR12 2