HomeMy Public PortalAbout5836-5836 1/4 PRIMROSE AVE_Electrical__ �. 036
DBS-SA 12.54 APPLI'CATION FOR C
DIVISION OF BUMDING AND SAFETY ,�'
Deportment of County'Engineer
County of Los Angeles BUILDING
WM.J. FOX.'COUNTY ENGINEER ADDRESS O S®
CJt6SATT D.GRIFFIN.SUPT OF BUILDI96
FOR APPLICANT TO FILL IN LOCALITY Temple MY
PERMIT FEES NEAREST
FEE' T�
CROSS ST. Lafs Tan,B
NUMBER EACH
LIGHT OUTLETS —4— OWNER LoaW��®,qav i�C,01Aau
RECEPTACLES ADDRESS
1636 rha iaAyeme
WALL SWITCHES TT pp�� y dap �f el
TOTAL OUTLETS A 54. $ CITYyOS An lee TEL..NO. urea 2— Sly (�
ELEC. RANGES �TT77� .25 ELECTRICIAN.
Los gWeles L'bqnty
ELEC. HEATERS 25 ADDRESS . 1636 Eastlake A�®]@{Ile
KW.EA CITY. yl s ADIM1 0 �T TEL. NOCA 2L�1
FIXTURES E 5 LICENSE NO. Ilona
NUMBER OF LIGHT CIRCUITS
NUMBER OD
CIRCUITS � I T ICTN. JGROUP-I ZONE I READY FOR INSPECTION
F RECEPTACLE v
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. J-1P OVER INC. EACH �r 1�
.L. �rL'A�.a4c:1I J ti•4�.fr�6.si
%B LESS $. .25
14 2 so
_ 2 5 1.00
S 15 1.50
15 50 2.50 U t l�• K�-���'
50 200 5.00
M.Isc. Parking-hot Flood Lights
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:'
WIRING $1.00
FIXTURES 51.00
SUPPLEMENTARY .50
APPROVALS.
TOTAL FEE $ 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.
1 HEREBY CERTIFY THAT 1 AM PROPERLY-REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED B OS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT 1' THE' LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDEIAL PERTY.
SIGNATURE UTILITY CO.NOTIFIED
I OF PERMITTEE FINAL 4.\
WILLIAM J.'FOX.COUNTY ENGINEER 'l�S' VALIDATION
16
4n AUG 2 n �,
® DEPUTY