HomeMy Public PortalAbout6212 ROSEMEAD BLVD_Electrical__ BAS63-CESOO-10-56 APPLICATI.ON FOR--ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION , / �/ ��1
Department of County Engineer BUILDING
County of Los Angeles /ADDRESS L / 2-1Y! 11
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D. GRIFFIN.SUP-T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
G FEES �w7,l"
LIGHTS R *EPT LES Sw1.CHES MANNER 6f
NUMBER ITEM EACH FEE MAIL
ADDRESS
TOTAL OUTLETS $ .1 $
0
r,LEC.- RANGES, WATER'HEATERS, CITY TEL.NO.
CLOTHES DRYERS .50 ELECTRICIAN — l "C
ELEC. SPACE HEATERS,.STAT-Y. COOK-
ING UNITS, GARBAGE DISPOSERS, 'r �.J•
ADDRESS
AUTO-WASHERS, DISHWASHER ,25
LIGHTING-FIXTURES ,.10 CITY TEL.NO.
MOTORS STATE f'���
LICENSE NO. J
HORSEPOWER
H.P. OVER INC. DISTRICT NO. [GROUP JZONE I READY FOR INSPECTION
V2&LESS .25 -
14 - 2. .50. INSPECTION RECORD
2 5 1.00
5 — 18 1.$0
15 50 2.50 '
50 200_ 5.00
MISC. "
SIGNS I NO.TRANS
NO.LAMPS
SERVICE 0-6OOV ._ 1.00 Q l
SERVICE OVER GOOV 5.00
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50 APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP KATION y nom, f
AND STATE THATr
,THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT 'C� O
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING a ,
ELECTRICAL WIRING. WIRING Mpy
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURESi^/,,^.+
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE' OF
CALIFORNIA OR THAT I AM -TIJJE L ,AL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL 7Y.
SIGNATURE �/�,,I/. TILITY CO.NOTIFIED
OF PERMITTEE FINAL
OHN A. LAMBIE. LIDATION ARTHUR C.VEIT.
.OUNTY ENGINEER MC CASH SUPERVISING ELECTRICAL ENGINEER
.&4174 1011 g 7.10 to