HomeMy Public PortalAbout4940 MCCLINTOCK AVE_Electrical__ 7BABBB
DBS-BA 12.84 APPLICATION FOR ELECTRIC PERMIT ],
DIVISION OF BUILDING AND SAFETY
Department of County. Engineer /}
County of Los Angeles BUILDING / 0/
WM.J. FOX, COUNTY ENGINEER _ADDRESS 7 C. /ill V
CASSATT D.GRIFFIN.SUPT OF BUILDING
FOR APPLICANT TO FILL IN _LOCALITY
PERMIT FEES NEAREST
CROSS ST.
NUMBER EACH FEE !/ /�,}1 f/
LIGHT OUTLETS � OWNER // y0//ofl'�NJ
RECEPTACLES MAIL
ADDRESS 1071-9
WALL SWITCHES //
TOTAL OUTLETS _ 5@ 5 CITY TEL.NO-00<9
ELEC. RANGES 25 ELECTRICIAN 9160
o /
ELEC. HEATERS' 25 ADDRESS
KW EA
CITY TEL. NO.
FIXTURES 5
LICENSE NO.
NUMBER OF LIGHT CIRCUITS
DIST NO. IGROUPI ZONE I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS cJG�/� AMOTORS ,o p
— i-j
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
%&LESS 5 .25 _
I/2 2 .50
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00
M ISC.
NO. SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT: '
WIRING S1 00
FIXTURES
SUPPLEMENTARY 50
APPROVALS
Ila
TOTAL FEE 5 DATE INSPECTORS SIGNATURE
1 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 REGULATING WIRING
ELECTRICAL WIRING. A
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR •FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE pp
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
10111111
WILLIAM J.FOX,COUNTYTAO
_ O 3 1 C� MAY 3 2 2-8 —
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® DEPUTY