HomeMy Public PortalAbout4960 MCCLINTOCK AVE_Electrical__ rr
78A888 ,` APPLICATION FOR ELECTRIC PERMIT 1 =_
DBB•SAfl1•SS
DIVISION OF BU=114G AND SAFETY
Deportment of County EaglneerBUILDING t '
County of Los Angeles ADDRESS l' Q
JOHN A.LA BIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY r/•�� L V��j
FOR PESAPPLICANT TO FILL IN FM CROSS ST.
NUMBER y�
OWNER
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL.NO.
TOTAL OUTLETS 0 s¢ $
ELECTRICIAN
-ELEC.RANGES 25
a
, ELEC.HEATERS 25 ADDRESS 91 r
KW EA CITY kppTEL.NO.
STATE
FIXTURES B LICENSE NO. / -3 V ��
-l.. MOTORS
UDISTRICT NO. GRO P ZONE READY FOR INSPECTION
NUMBER HORSEPOWER FEE I IAS` I .
NEW MVD. HP OVER INC. EACH
g LESS $ .25 Il�TSPECTION RECORD
Yt 2 .50
2. 5 1.00
5 - to 1.50
115 so 2:150
so 200 5.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY •50
APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT 01
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AMPROPERLY REGISTERED AND/OR FIXTURES. r
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND'STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED R£SID£NTIA 0 TY. .
SIGNATURE UTILITY CO.NOTIFIED —..%.7
OF PgRMITPEE P FINAL
IOHN A.LAMBIE.COUNTY ENGINEER VALmATZ�q� ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR
CK MO ]�CASHH '
';jC0 5 a PAY 7 2 1.1.5 � r