HomeMy Public PortalAbout5061 SERENO DR_Electrical__ 4AMGC '"" APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOB ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION wDDRESB
JOHN A. LAMSIE. COUNTY ENGINEER
WILLIAM A JENSEN SUP TOF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEARESTCI
PEFIM '
FM CRO58 Si
I T E Y IKUMaEai EACH FES OWNER
OUTLETS s MAIL
uGXM REC[IT tW 10 Q ADDRESS
LIGHTING FIXTURES Aet0 CITY TEL NO
ElAC RANGES CLO DRYERS ELECTRICIAN /27
WATER HRATERB 50 ADDREBBV
¢LEC SPA"HTRS DIBHWASX¢Rt CITY TEL NO
ARBAO¢DISFOS AUTO
STATE r
WASHERS BTA COOKING UNITS Ya LICENSE NO
MO OR9 ov¢R INe H F S R P
O— 'A 25 .� ..S6
Y.- Y 50 INSPECTION RECORD
2— 5 100
a— to 150
1a— DO 230
50—200 500
SIGNS NO TRANS ,
No "MFS
SERVICE O-SGOV 1 Do
SERVICE OVER 50OV 500
MISC
WIRING PERMIT 100
FIXTURE PERMIT
too
SUPPLEMENTARY PERMIT 50
TOTAL FEE i
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APFLIGTIOXFWIRING
PROVALS DATE INSPECTORSSIONATURE
AN STATE THAT THE ABOVE IS OORRRCT AND AGREE TO COhIMY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGT
¢LERRIGL WIRING
1 HEREBY CERTIFY THAT 1 AM IPRO1. y REGISTERED AND/ORyLICENSED A¢ REQUIRED RY LOB ARGaLB COUNTY AND RATE OFSCALIFORNIA OR THAT 1 AM THE LEGAL OWNER OR THE ABOVEDESCRIBED RKSIDENTIAL PRORERTY SIGNATURE CO NOTIFIED _
OF PERMITTE p �/E
®r �.IDATION $UPERVISINO ELECTRICAL CK YENGINEER
(` CAW
4 v .;UII 6 2 0 9 8 0