HomeMy Public PortalAbout9857 OLIVE ST_Electrical__ BS-EA-w.ss
DAPPLICATION FOR ELEC`�RI IT
ss.sA
DMSEON OF BUII. nqG AM SAFETY ,
Department of County Engineer BUILDING
County of LOS Angeles ADDRESS
JOHN A.LANIBIR.COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPIT OF BUILDING LOCALITY TQl]DA Ci t4
FOR APPLICANT TO FILL IN r CROSS ST
PE UM FEES .
NUMBER OWNER
3:andom
13 LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL.NO.
30 TOTAL OUTLETS 5¢ $ Z L50
ELECTRICIAN
EC.RANGES 25
ADDRES2
LEC.HEATERS 2S
E -
ECITY TEL.N
KW EA STATE
FIXTURES 5 LICENSE NO.
. MOTORS DIST5 p,T NO. I GROUP I ZONE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE
NEW MVD. HP OVER INC. EACH
. AIcPMTION R=f
Qr iS . e LESS $ .25 Y
Yz 2 .50
2 5 1.00
s Is 1.50
15 50 2.50
SO 200 5.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00.
FIXTURES $1.00 3 .0
SUPPLEMENTARY •50 APPSOVALS
TOTAL FEE 4AP
DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE'READ THIS AND STATE THAT THE ABOVE 1S CORRECT AND AGRELY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. —
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REGUI Y LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR TH I M L OWNER OF THE ABOVE POWER' =
DESCRIBED RESIDEN I L ROP
SIGNATURE R UTILITY CO.NOTIFIED
OF P$RMITTEE ' FINAL t `�
IOHN A.LAMBIE.COUNTY ENGINEER VALEDATION ARTHUR C.VEIT.CHIEF.ELECT.INSPECTOR
CK MO CASH
02 2 6 ' MOV 13 2 4.15
41V10-