HomeMy Public PortalAbout4904 ROSEMEAD BLVD_Electrical__ 7EAS62•CI0E-7-8E APPLICATI.ON FOR ELECTRIC PERMIT ],
BUILDING AND SAFETY DIMON 1r�
D.parunent of qty Erwin— BUILDING
County af Los AnQolM ADDRIS8 F✓
JOHN A. LAMBIE, COUNTY ENGINmt
CASSATT P. GRIFFIN, SUPT OF ■UILDING LOCALITY '
FOR APPLICMIT TO FILL IN NKA ,FST L,
NUMBER OWNER
LIGHT OUTLETS MAIL
41 ADDRESS J q N Ik aS tM tfM'f�p
RECEPTACLES /nom
WALL SWITCHES FEE CITY V A 4TL- TEL NO. 71
TOTAL OUTLETS E.LECTRICLaN
ELEC. RANGES 25 ADDRE"
ELEC. HEATERS 215 CITY TEL NO.
KW EA STATE -
FIXTURES 0
LICENSE NO.
MOT S IDISTRicT NO. I GROUP ZONE ttAOT FOR Irtptcrlot
NUMDIR HORSEPOWER FEE
NIM MVD. HP OVIlt INC. TACH
.LIJf s .2-8 INSPECTION RECORD
2 .150
2 15 1.00
D IS Lab
115 150 2.150
150 200 15.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING PERMIT 1.00 ,
FIXTURK PERMIT S1.00 -
SUPPLEMENTARY .150 APPROVALS
TOTAL, DATE INSPECTORS SIGNATURE
1 HEREBY ACXXOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND BYATE 7}1AT THE ABOVE IS CORRECT AILD AGREE TO COXPLT
WITH ALL CbUMTY ORDINANCES AND STATE LAWS REGULATIkG WIRING M
ELECTRICAL WIRING. FIXTURE:
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMD/OR
LICENSED AS REQUIRED BY LOS ANGEIBS COUNTY AMD ATE OF POWIIR
SIGNATURE
CALIFORNIA 0 Al TH LGGAL OWNER OF ABOYS
D"CAIBED RES DSII PR UT]LITY CO.NOTIFIED
OF PERM= ��FINNA]]jjL,, ��T
UNTY NGINKKR V M AYj�� DU PER 6LgIrlIOAL
M5 46 9D; FEB25 . 2 350 �