HomeMy Public PortalAbout9437 LEMON AVE_Electrical__ 76A663
DBS-3A 9.35 APPLICATION FOR ELECTRIC PERMIT
IT 1
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
` WM.J. FOX, COUNTY ENGINEER ADDRESS cJ
` CP.SSATT D.GRIFFIN, SUPT OF BUILDING
LOCALITY F
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST
FEE
NUMBER EACH
LIGHT OUTLETS /� OWNER
RECEPTACLES - p°I, MAIL
ADDRESS
WALL SW ITCHES l
TOTAL OUTLETS g¢ $ ,Q CITY TEL NO.
ELEC RANGES 25 ELECTRICIAN i - ^
_ELEC HEATERS 25 ADDRESS ! +
KW EA CITY 19Z., NO.
FIXTURES 5 �✓ LICENSE NO. 6 O
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GROUP ZONE EADY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
S j-
MOTORS
NUMBER HORSEPOWER FEE INSPECTION ECORD
NEW MVD. HP OVER INC EACH
I/2&LESS S 25
1/2 2 50
2 5 1 00
5 15 1 1 50
15 50 2 50
50 200 Boo
_misc.
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT"
WIRING $100 7 '
FIXTURES S1 00
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE g ✓ DAA/TE INSPECTORS SIGNATURE`
I 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
I HEREBY CERTIFY THAT I 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 t
DESCRIBED RESIDENTIAL PROPERTY., - UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE +- FINAL
WILLIAM J.FOX, COUNTY ENGINEER" VALIDATION A.-C. VEIT.CHIEF ELECT. INSPECTOR
too 9 3 0 9 OCT 2 4 2 4.5 0 In