HomeMy Public PortalAbout9027 PENTLAND ST_Electrical__ I,: SA 12APPLICATION FOR ELECTRIC PERMIT ],
DIVISION OF BUILDING AND SAFETY
Deparmlent of County Engineer
Coyly of Los Angeles BUILDING
WM J FOX COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN SUP T Or BUILDING I
FOR APPLICANT TO FILL IN LOCALITY
PERMIT FEES NCAREST
CROSS ST
FEE
NUMBER EACH /^,, i
LIGHT OUTLETS OWNER Al
RECEPTACLES MAIL 5 -7-7 AL h,,4/Zi
WALL SWITCHES
C 1 /
TOTAL OUTLETS 34 f CITY - /ST4 EL NO
ELEC RANGES X25 ELECTRICIAN
ELEC HEATERS 23 ADDRESS
KW EA
CITU TEL NO
FIXTURES 3 ' LICENSE NO
NUMBER OF LIGHT CIRCUITS DISTRICT NO GROUP ZONE nrA°Y FOR Irvsv Eci ton
NUMBER OF RECEPTACLE CIRCUITS t✓ 1: ^
MOTORS a /'{
NUMerR HORSEPOWER FEE INSPECTION RECORD
N°W MVD HP OVER INC [ACH
LESS $ 25
250
--- 2 5
100 -
3 5 1 30
_ IS 600 230
50 200 500
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100
FIXTURES $100
SUPPLEMENTARY 30 _
/p APPROVALS
TOTAL FEE $ y (J DATE INSPECTOR S SIGNATURE
I 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 l S5 �1.A-�•_
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FI%TURES
LICENSED AS REOUIR ED BY LO ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM E LEG L OF E ABO POWER
DESCRIBED RESIDE P ERTY
SIGNATURE UTILITY CO NOTIFIED SS �'..�^
OF PERM ITTE FINAL
. I`
R U
WILLIAM J FOX, COUNTY ENGIN VALID,600,2; 4r. w, 2 2 4.00 IpI
eY
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1 DEPUTY
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