HomeMy Public PortalAbout9832 LONGDEN AVE_Electrical__ DBS-5A 8•SS APPLICATION FOR ELECTRIC PERMIT �
D83•SA
DMSION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles ADDRESS y
WM.J. FOX.COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN.SUPT OF BUILDING _
x.. LOCALITY Al
FOR APPLICANT TO FILL IN NEAREST
PERMIT .FEES CROSS Sr. ,
NUMBER EACH FEE C `
OWNER
LIGHT OUTLETS
MAIL
RECEPTACLES i) ADDRESS
WALL SWITCHES a
TOTAL OUTLETS 5¢ S CITY TEL.NO.
ELEC.RANGES 25 ELECTRICIAN
ELEC.HEATERS 25 ADDRESS
KW EA CITY TEL.NO. o
FIXTURES 5 LICENSE NO.
a:
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. GROUP I ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS 57-
MOTORS Iv j
MOTORS
INSPECTION RECORD
t NUMBER HORSEPOWER FEE
NEW MVD. HP OVER INC. EACH
' 1/2 a LESS $ .25
� y2 2 .50
2 5 1.00 SLP a x ��R w<� ,a
5 15 1.50 ,T`lam. S P .fS ♦l 4 y�
,3 15 50 2.50
50 1 200 1 5.00. &L &JE- „ . Rys
M ISC. r P
F y!7
NO.SIGNS NO:TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT: d�
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE g r DATE r INSP CTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I RAVE READ THIS AP IC IONCONDUIT
AND STATE THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY �n
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING . WIRING `J�I• ix N!'
ELECTRICAL WIRING, r
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO10R FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES. COUNTY AND STATE OF
"• CALIFORNIA OR THAT I AM THE LEGAjp=pWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIALJtTY. �a
q �!
SIGNATURE UTILITY CO.NOTIFIED S`
OF PERMITTEE FINAL ~ / -
s '
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR
qCa 7 6 5 •;� SSP g 4.4 5 in