HomeMy Public PortalAbout9943 NADINE ST_Electrical__ (2) 7SAII63 APPLICATION FOR ELECTRIC PER.WIT
Q88.5A 12.54 1
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of 1.08 Angeles B U 1 LD1 NO
WM.J. FOX. COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN.SUPT OF BUILDING
FOR APPLICANT TO FILL IN LOCALITY
PERMIT FEES NEAREST
CROSS ST.
NUMBER EACHFEE.
LIGHT OUTLETS OWNER
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES
TOTAL OUTLETS 80 S CITY TEL. N
ELEC. RANGES 25 ELECTRICIAN
ELEC. HEATERS 28 ADDRESS
KW EA CITY TEL. NQ
FIXTURES 8 LICENSE NO.
NUMBER OF LIGHT CIRCUITS
. DISTRICT NO. GROUP ZONE READY FOR INSPECTIO
NUMBER OF BECEPTAC49 CIRCUITS L.r• •• _/
MOTORS �J
NUMBER HORSEPOWER FEE. INSPECTION RECORD
..NEW MVD. 'HP OVER INC. EACH
'16 9 LESS 5 .25
2 .50
2 8 1.00
8 15' 1.50
IS SO 2.80
50 200 5.00
MISC..
-
NO. SIGNS NO. TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PE MI
WIRING $1.00 / 00 -
FIXTURES $1.001 f
SUPPLEMENTARY .50 -
APPROVALS
TOTAL FEE 5 I 2 DATE INSPECTOR'S 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.
I 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 E OWNER OF THE ABOVE
DESCRIBED RESIDENTI OPE T .
UTILITY CO.NOTIFIED
SIGNATURE FINAL w'
OF PERMITTE
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION1 ,2 5 �
�_-&5 7 '2 4S A'j 8 :2 -
BY
DEPUTY