HomeMy Public PortalAbout5023 SERENO DR_Electrical__ Gl0.Q1�1II Q8 . APPLICATION FOR ELECTRIC PERMIT 1
DIVISION OF BU=ING AND SJI =
D*Parbnezd of County M91 DU ILICo1mtY LOS I ADDRESS Q Q 3
JOHN A LA B1E.COUMY�E GIN�t
CA
SSATT D GRIP71N Sup T or ECILoINR LOCALTTI•
FOR APP ICANT TO FILL IN NEAREST
PEBMTe u
NUMBER OWNER
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
/ WALL SWITCHES FEE CITY
TIVIL NO
TOTAL OUTLETS 0 ELECTRICIAN
EIEC RANGES En ADDRE88
ELEC HEATERS En
KIN QA CITY TEL NO
mA
FIXTURES n LICENSE NO i
MOTORS DISTRICT Ng. GROUP ZONE InumY roe lE pia m
NUMBER HORS�OWER FEE
Nm MVD HP Cv INC MACH RflWI. ION O�
a..e. En l EMORD
2 30
E n too
n In too
In 50 230
DO Zoo boo
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $t oo
FI%TURES SI 00 O'O
SUPPLEMENTARY n0 AMOVAL4
TOTAL FEE S DATE INSPECTOR B SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP ICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT {
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING 1
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIRTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OP
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPE$TT
SIGNATURE .C)F`)' UTILITYCO NOTIFIED - 'jam( 4
OR PERMITTEE FINAL -�
JOHN A.LAMBIE.COUNTY ENGINEER yPLII)ATLof ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR
If06419—� MAR26 2 4.55 ID