HomeMy Public PortalAbout5034 1/2 SERENO DR_Electrical__ TBAa`e`EBOI-„-,.,APPLICA ION FO "ELECTRIC PER MIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BDD.DDfG AND SAFETY DIVISION ADDRESS
C Tr a e i W.M&W LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERNIIT FEES
ITEM NUMBERI H EACF[[ OWNER
OUTLBTB f f MAIL -
LIGNII ecEPr IW 1 10 ADDRESS
LIGHTING FIXTURES To CITY TEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN
WATER HEATERS 00
ELEC.SPACE HTRI DISHWASHER• ADDRE
GMBAG[DISPOS@8� AUTO- ITT T NO ^
WM/—ERB�STA COOKING UNrtI 20 STATE
LICENSE NO
MOTORS OVER INC H P
o — v. 25 AG E R Ir[rn
V[ — 2 00
a — s too INSPECTION RECORD
0 — Is 150
13 — so 230
Do— 200 moo
SIGN NO TRANS
NO LAMPS
SERVI 0 eOOV 100
SERVIC VER600V 000
MISC
WIRING PERMIT 100
FIXTURE PERMIT too
SUPPLEMENTARY PERMIT 00
TOTAL FEE f APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APP ICA IO DATE INSPECTOR ddIGNATURE
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO CO PLT CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING =V]ErT -
5UPKRVISING
1 HEREBY CERTIFT THAT I AR PROPERLT REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 TH AL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PERTY
SIGNATURE UTILITY CO NOTI PIEDOP PERMI ATION ON LGCTRICAL6NGIN6®t
7 1
7 o LICT14 20
4
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