HomeMy Public PortalAbout9722 LONGDEN AVE_Electrical__ b9DBSA98.•SA8.99 9 APPLICATION FOR ELEC`TRI.0 PERMIT 1
DIVISION OF BUILDING AND SAFETY ' -
Department of County Engineer
CountyX of Los Angeles FDR
•�
WM.J.FO COUNTY ENGINEER . . !�
CASSATT D.GRIFFIN,SUP-T-OR BUILDING A
c
FOR APPLICANT TO FILL IN .FEMv= FEES .
NUMBER EACH FEE
LIGHT OUTLETS OWNER. W
RECEPTACLES MAIL'
ADDRESS
WALL SWITCHES
TOTAL OUTLETS 5¢ $ D S ' CITY TEL. O.
I`LEC.RANGES -• 25 • ELECTRICIAN o�
ELEC. HEATERS 25 ADDRE S Sl
'KW EACITY
FIXTURES TEL.NO.
r' 5 a LICENSE NO.
NUMBER OF LIGHT CIRCUITS - ;DISTRICTNO. JGROUPI ZONE I READY FOR INSPECTION
NUMBER OF,RECEPTACLE CIRCUITS
° MOTORS '
NUMBER 1ioRSEPowER•, FEE INSPECTION RECORD '
NEW MVD. HP ,OVER INC. EACH
]/2 @ LE59 $. .25 -
I
fit 2 .50.
rf 2 5 1.00'
5 15 1.80
15 50 1 2.50
"50. -200• 5..00
MISC.
t NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR.EACH PERMIT:..
WIRING $1.00 r C n
FIXTURES $1.00 ( v C,
SUPPLEMENTARY .50 ' APPROVALS t
TOTAL FEE S .� to l DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE-THAT-1 .HAVE:READ THIS APPLICATION CONDUIT
AND STATE THAT THE.ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY -ORDINANCES AND STATE LAWS REGULATINGWIRING / .I J O
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT' 1 AM PROPERLY REGISTERED.AND/OR FIXTURES ��f
LICENSED AS REQUIRED BY LOS ANGELES COUNTYAND..STATE OF
•
CALIFORNIA OR THAT I AM. THE LEGAL OWNER_ OF THE ABOVE POWER
DESCRIBED•RESIDENTIAPROPE
? "SIGNATURE UTILITY CO.NOTIFIED /�..
-OF PERMITTEE FINAL
WILLIAM J.FOX,COUNTY ENGINEER. VALIDATION A..C.VEIT,CHIEF ELECT.INSPECTOR
:O 6 5 -.3•..A SEP 2.6 2 2.1'0 �"