HomeMy Public PortalAbout6043 ROWLAND AVE_Electrical__ 'SA868-CE608-7.56 APPLICATION FOR ELECTRIC PERMIT ],
BUII.DING AND SAFETY DIVISION
Department of Coua engineer BUILDING �+
County of LOB Augelee ADDRESS 6 //d I /l d u1 1-/r/1l (11=•
JOHN A.LAMBIE. COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUIL ING LOCALITY �c ,
NEAREST
FOR AAPTPLIICCAM�NT TO FILL IN CROSS ST.PEB /
NUMBER OWNER
LIGHT OUTLETS MAIL
ADDRESS
RECEPTACLES ,
WALL SWITCHES FEE' CITY TEL.NO.
TOTAL OUTLETS a Be $ ELECTRICIAN r
ELEC.RANGE S h 25 ADDRESS IF
ELEC.>7RAWERS 25 �•S CiTy TEL.NO.
KW EA STATE
FIXTURES 5 LICENSE NO. L
MOTORS DISTRICT NO. E 4. READY FOR INSPECTION
NUMBER HORSEPOWER FEE '� jGRO_LLBJ
!!L b
NEW MVD. HP OVER INC. EACH
Y2&LESS $ .25 INSPECTION RECORD-
2_____
ECORD-
2 .50
2 5 1.00
r
5 IS 1.50'
15 I 50 1 2.50
50 1 200 1 .5.00
M ISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING PERMIT $1.00 ( OQ
FIXTURE PERMIT $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE, [ DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT e
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT I AM THE. LEGAL OWNER OF THE ABOVE �
DESCRIBED RESIDENT OPE 'UTILITY CO.NOTIFIED r fll.'/
SIGNATURE "I.t•
OF PERMITTEE FINAL
IOHN A.LGINEER MATION ARTHUR C.VETT.
..OUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER
MO CASH
PLO 5 0 o FFB 13 2 1.2 5 '�