HomeMy Public PortalAbout5036 SERENO DR_Electrical__ D:o6AT350 APPLICATION FOR ELECTRIC PERI JIT I
.DIVISION OF WELDING AND SAFETY O
+ DfFLirRRDt Di COUOtT Eugt L f
UILDING
COE7119 L08 DDRESS
WM J FO COUNTY NGINEER .9 arenc)
CASSATTD GRIFFIN SurTorMu1LGINO OCALITY Temple City
FcO�R�A�PPLICANT TO FILL IN EAREST $1Vd
PEHMTT FEES ROSS8T D a u.nn e
NUMBER EACH FEE
LIGHT OUTLETS OWNER Boyden
ML
RECEPTACLES ADDRESS 8469 Lon den ave
WALLSWITCHES n•
TOTAL OUTLETS p f CI Temple Ci TEL NO
EIEC RANGES 2p ELECTRICIAN SUlliVan & COUCh
ELEC HEATERS 25 ADDRESS
KW FA CITY Rall TEL NO TrU71225
FIXTURES 1 7 1 p LICENSE UO
NUMBER OF LIGHT CIRCUITS DISTRgIJ40 JGROYPI ZONUDYFORIKSPECTIOU
NUMBER OF RECEPTACLE CIRCUITS T '
MOTORS y
NUMBER HORSEPOWER FEE INSPECTION HECORD
W
NEMVD HP OVER INC EACH
a LEES 25
2 p0
2 p 100
p Ip 1 p0
9Ip p0 250
p0 200 500
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING f100
FIXTURES .5100
SUPPLEMENTARY p0 APPROVALS
TOTAL FEE f DATE INSPECTOR S BIGMATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING I L
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED A /OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES OUNTY AND ST OF
CALIFORNIA OR THAT 1 THE LEG WIOF TH BOVE POWER
DESCRIBED RESIDENTIA OP
SIGNATURE UTILITY CO NOTIFIED .., - �r
OF PERMITTEE I Fla FINAL
WILLIAM J FOX, COUNTY ENGINEER VALIDATION A C VEIT.CHIEF ELECT INSPECTOR
i.AC04802�. nen 5 2 355
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