HomeMy Public PortalAbout5074 SERENO DR_Electrical__ 76AS63 CE.05 Tb! - APPLICATION FOR ELECTRIC PERMIT ],
BUUMING AND SAFETY DIVISION
Department of County EnglnLNLc BUILDING
County of Loa Angela ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
CASSATT O GRIFFIN, SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMT FEES CROSS ST
qc
NUN ER OWNER
LIG MOUTLETS MAIL
ADDRESS
RECEPTACLES r
WALL SWITCHES FEE CITY jea NO
TOTAL OUTLETS ® at a ELECTRICIAN
ELEC RANGES 35 ADDRESS 1
ELEC HEATERS 25 CITY TEL NO ,
3 r_
KW EA STATE / 3
FIXTURES b LICENSE NO
MOTORS DISTRICT NO GROUP ZONE Ruor foA IN CT
NUMBER HORSEPOWER FEE ��
N6W MVD HP OVER INC EACH
e LES. IS Eb INSPEIMON RECORD
14 2 bo
H b 100
b 15 150
15 50 250
50 EOO boo
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING PERMIT •1 GO I m
FIXTURE PERMIT $100 1 0
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE I DATE INSPECTOR S SIGNATURE
IHEREBY ACKNOWLEDGE THAT 1 "AVE READ THIS APPLICATION CONDUIT
A X D STATE THAT THE ABOVE IS CORRECT AND AGREE TO COYPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT I AN PROPERLY EG ISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES NTT AIW STATE OF POWER
CALIFORNIA OR THAT Y TX AL NER OF X✓_LEGAtOYH
DESCRIBED RESIDE P r UTILITY CO NOTIFIED S�I
SIGNATURE
OF PERMITTEE FINAL M U
JOHN A MBIE MACASH TION ARTHUR C Y�IT
COUNTY NG INNER SUr�1YIBING ELECTRICAL ENGINEER
CK MO
aoLALo 717 1 4 0 APR 1 5 2 4.15 In