HomeMy Public PortalAbout4813 RIO HONDO AVE_Electrical__ D136-BA 11-118.fl.SS APPLICATION FOR ELECTRIC PE MIT
DIVISION OF BZJII.W= AND SAFB"PY
DepO>rlmeal Of County Engineer BUILDING -
County 0f Los Angeles ADDRESS
JOHN A.LAMB1E.COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY l c'.
FOR pI� IC'�
APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER OWNER
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY •I•EL, o. o
TOTAL OUTLETS 0 Sd S ELECTRICIAy -
ELEC.RANGES 25 ADDRESS / t ��`x' dvA ► I�Ydf r:iCi
ELEC.HEATERS 25
IC{N CITY ... i EL.NO.
STATE
FIXTURES 5 LICENSE NO.
MOTORS DISTRICT O. GROUP ZONE READY FOR INSPECHOR
NUMBER HORSEPOWER FEE
NEW MVD. HP OVER INC. EACH
LESS S .25 II�TSPECTION M=RD
Yz 2 .50
2 5 1.00
5 18 1.50
15 50 2.50
50 200 5.00
M ISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $i.00 I
FIXTURES $1.00
SUPPLEMENTARY .50 ANEW=FEE 8 / ®� DATE INSPECTORS SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLYFFIXRES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �,
ELECTRICAL WIRING. `i; .3�a c = _�JAE-..;:
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORLICENSED AS REQUIRED BY LOS ANGELS COUNTY AND STATE OFCALIFORNIA OR THAT 1 AM THE LEG OWNER 0 THE ABOVEDESCRIBED RESIDE P RTY.SIGNATURE / OTIFIED
OF PERMITTEE �� FINAL
JOHN A.LAMSIE.COUNTY ENGINEER )� ATION ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR
C MO CASH
Lt'i�r0 O 2 1 3� SEP 14 2 4.0 5 ' a
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