HomeMy Public PortalAbout9961 NADINE ST_Electrical__ DBS-5A ti-sa APPLICATION FOR ELECTR 1
DBs.ap
DIVISION OF BUILDING AND SAFETY '
Depw ent Of County Engineer BUILDING `/ �(J
C011n� Of LOB Angeles ADDRESS
JOHN A. LA BIE.COUNTY ENGINEER _ ,, ++ rr C,
CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY �G M �G
FOR APPLICANT TO FILL IN NEAREST
PERM FEES c ors ST.
NUMBER OWNER
LIGHT OUTLETS
MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY LIZ A v= TEL.NO.
TOTAL OUTLETS ® � ELECTRICIAN
ELEC. RANGES 28 ADDRESS
ELEC. HEATERS 25
KIN CITY TEL.NO
STATE
FIXTURES 5 LICENSE NO. J
MOTORS DISTRICT Krcl-p-
I ZONE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE
NEW MVD. HP OVER INC. EACH
&LESS $ .25
1/2INSPECTION RECORD
Yz 2 .50
2 5 1.00
5 15 1.50
13 50 2.50
50 200 5.00
F
M ISC. J
w
t t [ 1
Nit�
NO.SIGNS NO.TRANS. `
NO. SIGNS NO. LAMPS \
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00 JU
SUPPLEMENTARY .50 ,fez A, Uf
APPROVALS
TOTAL FEE $ /0 DATE INSPECTOR'S SIGNATURE
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I-AM THE LEGA •OWNER OF THE ABOVE POWER
DESCRIBED RESIDEN PA PROPER .
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE FINAL
OHN A.LAMBIE. OUNTY ENGINEER ATION ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR
CK MO CABH
3b01 DEC 21 :: 2