HomeMy Public PortalAbout5459 SARA MAR LN_Electrical__ 003 BA EE APPLICATION FOR ELECTRIC PERMIT I
DI WON OF BUMDING AND SAFETY
DopartmeW of County Enpinow
COIInty 01 La AL E• BUIIDINO
w J PO COUNTY NOINEDR AODREBB
CADBATT O GRIFFIN SUP TOP BUILDING /+
LOCALITY
70�FOR APPLICANT TO FILL IN NEAREST
PEBMIT FEES CROSSST
I FEE N M ER EACH
LIGHT OUTLETS OWNER
RECEPTACLES MAIL
ADDRESS
WALL8W ITCHEH
TOTALOUTLETS DC CITY
ELEC RANGES 25 ELECTRICIANVichme Q
ELEC
HEATERS 25 ADDRESS T
KW EA CITY �J TEL NO
FIXTURES LI NSE NO I
NUMBER OF LIGHT CI RCUITB
DISTRICT NO I GROUP ZONE BY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS ,
Nuwe[q HORSEPOWER FEE INSPECTION RECORD
— W. HP FOVEA INC EACH
d LE[E 2D
2 50
2 5 foo
D 15 Too
15 50 2 50
50 200 D 00
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS 1
FOR EACH PERMIT
WIRING 100
FIXTURES Al DO
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE S DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A LIC ION CONDUIT
ANO STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING 1
1 HEREBY CERTIFY THLOMPLENTY,
AY PROPS Y EGIS ER AND/OR FIXTURES S
LICENSED AS REOUIREOOS AMGEL/T' M ATE OF -
CALIFORNIA OR THAT THE LE F "OWE POWER
DESCRIBED RE91D TIA
SIGNATURE UTILITYCO NOTIFIED S l
OFPERMllTTEq AL t
OWNS
WILLIAM J .COUNTY EmaimfflfR VALIDATION A C VEIT.CHIEF ELEGT INBP[cTOR
LAC04 6 9 6In FEB 1 2 520 n