HomeMy Public PortalAbout5072 SERENO DR_Electrical__ soli 1
D�VA,I EE YAPPLICATION FOR ELECTRIC PE
DIVISION OF'MUDING AND SAFETY
DopmrWwnl of p! � � ADIDRESS '
JOHN A LA SIE.COU 6 ammm gZONEI
CASSATT D GRIFFIN SUPT DP BUILDIND LOCALITY
FOR APPLICANT CANT TO FILL IN NEAREST
FM OSS IST
NUMBER OWNER
LIGHT OUTLHTs MAIL
RECEPTACLES ADDRRBS
WALL SWITCHES FEE
CITY
TOTAL O e D ELECTRICIAN
ELEC RANGES 26 ADDRESS r
RLEC HEATERS PE S
KW EA STAY
STATE
FIXTURES E LICENSE NO
MOTORS DISTRICT NO I GROUP I nmY roa IaaPao7loa
NUYaEl1 HORSEPOWER PER _ S .:r
Nxw MVD HP ova INC EACH
IIQSPECCION HECOHD
s L ES
R Eo I
R E 100
E 1E 1 Eo
1E eo 250 dg4irCL.JC
pi e0 200 Boo d —V L _
MISC
NO SIGNS - NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING ST 00 1
FIXTURES Sl 00
BUPPLBMENTARY EO AMOVAM
TOTAL FEE III DATE INSP CTOR S S18RATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPEICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REOULATINO WIRING
ELECTRICAL WIRING.
I HERBEY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REOUIRED BY LOS ANO COUNTYER AND STATS OF
CALIFORNIA OR THAT I AM THE A OWNF THE ABOVE POWER
DESCRIBED RESIDENTjftyjOPERTY
SIGNATURE UTILITY FINAL
CO NOTIFIED ID •+�
of PERMITTEE 1
nd
JOHN A.LAMBIE„COUNTY EN%IHEER VALIDATION ARTHUR C.VETT.CHIEF E:LROT.INYPHCTOR
CK MO CAaH
1_AC7 3 7 E: P J025 ?, '(A 5