HomeMy Public PortalAbout6312 ROSEMEAD BLVD_Electrical__ B
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APPUCATIO 9 FOR.ELECTMIC I�ERMT,6(3i2
3-SA 1-S
DBS-5A S
DIVISION OF BUILDING AND SAFETY
Depuz eat of County Engineer BUILDING 49
County of Los Angeles ADDRESS ? Rosemead
JOHN A. LANIBIE.COUNTY ENGINEER '
CASSATT D. GRIFFIN, SUPT OF BUILDING c LOCALITY TemIDI P. City
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES ceosssr. L�n�r3�n at R�SAmPa,-�
NUMBER OWNER
LIGHT OUTLETS
RECEPTACLES ADDRESS (Xmas Tree Lot )
WALL SWITCHES FEE �
CITY TEL. NO.
TOTAL OUTLETS @ Sd inELECTRICIAN F
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
CITY TEL.Nd
KW EA STATE L
FIXTURES 5 LICENSE NO. V
72
MOTORS DISTRICT NO. I GROUP I /ZONE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE s7'" r �✓
NEW MVD HP OVER INC. EACH
>V2&LESS $ 25 INSPECTION RECORD
2 .50
2 5 1.00
5 15 1.50
n
15 50 2.50
50 200 5.00
J
misc. 1
Tamp. ower ?oie
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT,
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY .50
APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPIfICATION
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 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF '
CALIFORNIA OR THAT M THE LEGAL OWNER OF THE AB POWER
DESCRIBED RESIDENT"
L P PE ,
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE FINAL
JOHN A.LAMBIE,COUNTY ENGINEER
ATION ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR
CK Mo CASH
2 9 3 3 DEC 3 2 .'Q