HomeMy Public PortalAbout5816 PRIMROSE AVE_Electrical__ 78A APPLICATION FOR ItLECTRIC PERMIT 1
DBS.SA,LI.SS
DEMION OF BUWING AND SAFETY
DepO:lment of County Ehgimar BUILDING // p
COua�r of LOB AIIgeleS ADDRESS
JOHN A.LAIVIBIE.COUNTY ENGINEER
CASSATT'D.GRIFFIN.SUPIT OF BUILDING 'LOCALITY
FOR PEM= FEES4CROSS ST.
APPLICANT TO FILL IN NEAREST
NUMBER OWNER
LIGHT OUTLETS MAIL !!
RECEPTACLESU
ADDRESS `p
WALL SWITCHES FEE CITY,/7TEL.NO.
TOTAL OUTLETS @ Be $ ELECT ICIAN 4,5Vi.✓
ELEC.RANGES 25
ELEC.HEATERS 215 ADDRESS
KW CITY TEL.NO.(f DSO
p STATE
: FIXTURES B LICENSE NO. O S
MOTORS DISTRICT NO. I GROUP ZONE BRADY FOR INSPECTION
NUMBER HORSEPOWER FEE rl. 9�-� _
NEW MVD. HP OVER INC. EACH
Y2 Sc LESS $ .25 INSPECTIQN 11iaVVilL
2 .50
2 5 1.00
5 to 1.150
i5 150 2.50
SO 200___l 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 INSPECTORS SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 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.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THA I AM THE LEGAL OWNE OF THE ABOVE POWER
DESCRIBED RESIDENT AL PROPERlY� A
SIGNATURE ✓aC UTILITY CO.NOTIFIED
OF PERMITTEE 'I^^" FINAL I Slr
'OHN A.LAMB COUNTY ENGINEERATION ARTHUR C.VEIT.CHIEI�ELECT.INSPECTOR
CK O CASH
,t 5 1 7 7 APR 17 ? 1 .2 5 In
'BAe ARPLICATION FOR ELECTRIC (PERMIT
DBS.BA.`DAB MON OF BUILDING AND SAFETY
Deparbnent of County Engineer BUILDING
COL1IIt4 Of LOS Angeles ADDRESS
JOHN A.LA BIE.COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY
FpO�R APPLICANT TO FILL IN NEOSS S
C OSS sr.
NUMBER OWNER r
LIGHT OUTLETS MAIL 4
RECEPTACLES ADDRESS _
WALL SWITCHES FEECl l s TEL.NO.
TOTAL OUTLETS 0 S¢ $ 11 ELECT 1CIAN
ELEC.RANGES 28 '
AI _A_
ELEC.HEATERS 2S ADDRESS _
KW EA CITY TEL.NO.
STATE
FIXTURES is LICENSE NO. f jr.Sim
MOTORS DISTRICT NO. GROIN.P ZONg READY FOR INSPECTION
NUMBER HORSEPOWER FEE
'NEW MVD. HP OVER INC. EACH D
ngSPWTION COR
Y2 B LESS $ .25
AAS W
2 .So it. V%mm- FVC
a s 1.00 -
s to 1.80 KIM
is so 2.50
so goo 5.00
j MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY .So APPROVAZS.
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
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
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER _ p
DESCRIBED RESIDEN AL PROPERTY UTILITY CO.NOTIFIED /1
SIGNATURE 1 f ��gge
OF PERMITT FINAL t (D 15 r�^+ f[>(�(c1e+•
IOHN A.LAM .COUNTY ENGINEER YJ=ATION ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR
K MO CA8H
Goo 9 7•8ir, APR11 2 3.6 5 �'