HomeMy Public PortalAbout10308 LIVE OAK AVE_Electrical__ OS-S3
13SA 9-35 1'[�tlS, E L,ICB'-\ 0 ION FOR ELECTRIC PERMIT
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DBS•
DIVISION OF BUILDING AND SAFETY
-
Department of County Engineer
County of Los Angeles BUILDING
WM.J. FOX, COUNTY ENGINEER
ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST J
PERMIT FEES CROSS ST
NUMBER EACH FEE
OWNER /.
LIGHT OUTLETS -
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES ,�-
TOTAL OUTLETS g¢ $ ,3,�� CITY TEL,NO
ELEC RANGES 25 ELECTRICIAN / e-
_ELEC HEATERS 25 ADDRESS 4 (!/
KW EA CITY TEL NOL--1)77//1)
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRI T NO. G�yRROUP READY FOR�INSPECTION
NUMBER OF RECEPTACLE CIRCUITS ` I`f" I J�.t
MOTORS ))) �� AZO � '�•g
NUMBER I HORSEPOWER IFEE INSPECTION RECORD
NEW MVD HP OVER/ INC EACH b
1/2&LESS $ .25 -3
1/2 2 50
2 5 100
5 15 1.50
15 50 2 50
W
50 200 500 -
misc.
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100
FIXTURES $1 00 —D
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE $ I�S� 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 - � Ot
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT l AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY.
UTILITY CO.NOTIFIED
SIGNATURE /ill
OF PERMITTEE l FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION A. C.VEIT.CHIEF ELECT. INSPECTOR
3997 MAR12 2 3.95