HomeMy Public PortalAbout10233 LOWER AZUSA RD_Electrical__ S,APPLICAT f0N FOR..XtECTRIC" PERMIT . 1.
COUNTY OF LOS ANGELES.'.
DEPARTMENT OF COUNTY ENGINEER' Bu I LDI NG
BUILDING AND SAFETY-DIVISION ADDRESS
70HN A. LAMBIE;Count..Ea eez r
CASSATT D. GRIFFIN. Supt of Building LOCALITY
NEAREST;',.:.:
FOR APPLICANT TO FILLIN cRoss sr.
PERMIT FEES
ITEM- .NUMBER EACH FEE OWNER
OUTLETS: $ $ MAIL
LIGHTS 'RECEPT: SW. - .'l0 �.. Q : .ADDRESS '
LIGHTING FIXTURES .104 •'� '} TEL y CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER. HEATERS .50 -
'ELEC.SPACE HTRS. DISHWASHERS, _ADDRESS - o -
GARBAGE DISPOSERS' AUTO.- " CITY EL..,N O: � ',Q(yO.
WASHERS STA.COOKING UNITS ,25 STATE ^7 -
LICENSE NO.
MOTORS: OVER - INC. H.P.
DISTRICT NO. IGRPUP.1 ZONE RE
0 .25.,
ADY FOR INSPECTION
— •I/z
r
2 .50 -
2 5 1.00 / [1INSPECTION RECORD:
5 — 15 7.50 t/S� � B.FIt/ Gt1t3`j' �
15 — 50. '2:50
50— 200 5.00 .'•�` J -
SIGNS: NO.TRANS.. •NO.LAMPS
SERVICE 0-600V - - 1:00 -
SERVICE OVER 600V 5.00
MISC. .
WIRING PERMIT
FIXTURE'PERMIT - 1.00
SUPPLEMENTARY PERMIT
TOTAL FEE —�- .S APPROVALS '
1 HEREBY ACKNOWLEDGE THAT I VE' READ THIS'APPLICA ION DATE INSPECTOR'S SIGNATURE
• AND STATE THAT THE ABOVE IS CORRECT AND .AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE- LAWS REGULATING -
ELECTRICAL WIRING. - WIRING - i 'fir
I HEREBY CERTIFY THAT 1 AM PROPERLY- REGISTERED AND/OR• - - - _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND-STATE OF FIXTURES
CALIFORNIA. OR. THAT AM THE LEGAL OW R'-OEC THE ABOVE `POWER
DESCRIBED RE ID AL ROPERTY.
SIGNATURE
OF
CO. NOTIFIED ,
OF PERMITTE
FINAL
(7ATION.
wsHSUP ERVISING EE CTRICALL ENNE
. :9 5