HomeMy Public PortalAbout4919 RIO HONDO AVE_Electrical__ /IlAB6B APPLICATJON FOR ELECTRIC PERMIT 1
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DIVISION OF BUIT.DING AND SAFETY
Department of County Engineer BUILDING
Caunt4 Of LOS Angeles ADDRESS O`
JOHN A.LA BIE.COUNTY ENGINEER
CASSATT D.GRIFFIN,SUP-T OF BUILDING LOCALI
FOR APPLICANT TOFILL IN NEAREST IF OF
p� F Cors ST
NUMB
LIGHT OUTLETS OWNER MAIL d—RECEPTACLES ADDRESS O
WALL SWITCHES FEE . C[T EL.NO.
TOTAL OUTLETS ® s¢ $
ELECTRICIAN
ELEC.RANGES 25
ADDRESS
ELEC.HEATERS 25
KW EA CITY TEL.NO.
STATE
FIXTURES 5 LICENSE NO.
MOTORS
DISTR19X.NO. I GROUP ZONE READY FOR INSPECTION
NUMBER HORSEPOWER FEE
NEW MVD. HP OVE� INC. EACH
LESS $ 2s INSPECTION RECORD
2 5 .1.00
s 15 1.50 c�
Is• 50 2.50
so' Poo 5.00.
riltsc. C5�\�t"n sr' t..r. tc �� plc % srr•LT-.-
GSL. . C. L r v--D.
Adm
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00 �d
FIXTURES $1.00 lit,R
SUPPLEMENTARY .50 APPROVALS
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 AN PROPERLYREGISTERED AND/OR' FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF E ABOVE POWER
DESCRIBED RESIDENTI ROPE UTILITY CO.NOTIFIED p .
SIGNATURE
OF PERMITTEE FINAL i p
iOHN A.LAMBIE.COUNTY ENGINEER vALIDATj ARTHUR C.VEIT.CHIEF EL=r.INSPECTOR
CK NO
.��06 6 9 JUN 6 . 2 6.8 5 '�