HomeMy Public PortalAbout5929-5929 3/4 PRIMROSE AVE_Electrical__ z%—�— 593
'BS-SA 12.54 APPLICATION FOR ELECT
.PERMIT
IDBS-SA ],
. S•SA
DMSION OF BUILDING AND SAFETY +
Department of County Engineer
County of Los Angeles BUILDINGf
WM.J. FOX, COUNTY ENGINEER IDDRESS s
CASSATT D.GRIFFIN,SUPT OF BUILDING
FOR APPLICANT TO FILL IN
LOCALITY
PEMM FEES NEAREST
FEE
CROSS ST.
NUMBER EACH
LIGHT OUTLETS �ci OWNER
RECEPTACLES A q MAIL
7. ,
ADDRESS
WALL SWITCHES
TOTAL OUTLETS 5E $ r CITY ATEL. NO. i
ELEC. RANGES 25 �1n ELECTRICIAN6•'
I
ELEC.HEATERS 25 ADDRESS i1 1 -T +�C� t a e-
KW EA
CITY JTf+q-+• - �r�G.+ � TEL. NO. .�
_FIXTURES drJ S LICENSE NO.
NUMBER OF LIGHT CIRCUITS
NDISTRICT NO. I GRO P �
I ISE I READY FOR INSPECTION
UMBER OF RECEPTACLE CIRCUITS _ a7�
MOTORS V Hi'
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER !NC. EACH
16 IN LESS $ .25
N V22 .50
_F 2 5 1.00
5 r
15 50 2.50
50 200 5.00 S� . S`i" 4/"`,.j:1 /-- ,r / ,
p/� M!U1
_MISC. � Vi6 .IN s + tl D
y
Q- C.0s��
NO.SIGNS NO.TRANS.
r' - r/ .V- .SrA
NO.SIGNS NO. LAMPS `� � � r ✓r ��
FOR EACH-PERMIT:-
WIRING $1.00
FIXTURES $1.00 7 Co ,
SUPPLEMENTARY ,50 _ r �C L' /' SI
y , m APPROVALS ; r
TOTAL FEE � ® DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOVlLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT I e)' l f �7,F r��
AND..STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY r r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATaNG WIRING
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES �( ITa /Wll��ll I
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AMTHE •EGAL OWNER OF THE. ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY. ' UTILITY CO.NOTIFIED
SIGNATURE
OF PERM ITTEM141 i FINAL •-/1"if ,(` , , ,•�?�`/.�ll/,f
WILLIAM J.FOX,COUNTY ENGINEER VAL%T O�t 2 IS 1' iR•18 2 1 3 A O
® BY + DEPUTY