HomeMy Public PortalAbout9117 PRIMROSE AVE_Electrical__ ,BO-SA 11.58 APPLICATIONS FOR ELECTRIC PERMIT kav, 1
)BO-SA
DIVISION OF BIWING AND SAFETY `
Department of County Engineer BUILDING 9
Cour of LOS Angeles ADDRESS i f
JOHN A.LAMBIE.COUNTY ENGINEER p
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES c oss ST. p
NUMBER OWNER
LIGHT.OUTLETS MAIL
RECEPTACLES ADDRESS Alto _
WALL SWITCHES FEE
CITY C TEL.NO.
e-55rrnad 01
TOTAL OUTLETS @ s¢ $. ELECTRICIAN
ELEC.RANGES 25 ADDRESS ®t.S
ELEC.HEATERS 2s
KW EA CITY TEL.SIO.
STATE ,sem q
FIXTURES s LICENSE NO.
MOTORS DISTRICT NO. GROUP ZONE READY FOR INSPECTION
NUMBER HORSEPOWER FEE 6�
NEW MVD. HP OVER INC. EACH SPECTION IREWRn
x-
Ya 2 .50 / /
s 1s 1.50
1s so 2.SO
so 200 5.00 �+
2
-4 a•A`
NO.SIGNS NO.TRANS. Fes"
NO.SIGNS NO. LAMPS /J
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY .50
APPROVALS -
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE,
1 HEREBY ACKNOWLEDGE THAT 1.HAVEREAD THIS APPLICATTOffi
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 TH T I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS RE LOS ANGELES COON AHD STATE OF
CALIFORNIA. OR i T LEGAL, WtOF THE ABOVE POWER
DESCRIBED RESI TIAL 0 1Y. UTILITY CO.NOTIFIED L
SIGNATURE
OF P$RMITTft FINAL 1L
'OHN A. BI COUNTY ENGINEERyA V ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR
CK' _,MO CASH