HomeMy Public PortalAbout5112 SERENO DR_Electrical__ TSA[SS C[BGS T-SS APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS .•
JOHN A LAMBIE COUNTY ENGINEER
CASBATT D GRIFFIN SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERM FM
1 T E M HUMBER EACH FEE OWNER
OUTLETMAIL
OL." RECUT SW �� s 10 S O ADDRESS
LIGHTING FIXTURES 10 CITY NO
EL[C RANGES CLO DRYERS ELECTRICIANS o!�
WATER HEATERB DO ADDRESS X3� %W ✓
[LEC SPACE HTRS DISHWASHERS
GARSAGE DISPOSERS AUTO- CITY TEL NO •� O
ST
ATE
WADX[n6 STA COOKING UNITS 25 STATE ENO 6
MOTORS OVER INC H P DIS RICT O GR P ZONEPR CESS D BY
O— 1/a 2D —1
V.— 2 50 WSP=0N REMRD
2— S 100
S— 15 1 SO
15— EO 250
SO-200 500
SIGNS NO TRANS
NO LANPS
SERVICE O SOOV 100
SERVICE OVER SOOV 500
MISC
WIRING PERMIT 100
FIXTURE PERMIT too 10d
SUPPLEMENTARY PERMIT 50
TOTAL FEE $ - =1 ��� 1 AMOVAIS •�
IH[REDY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 1``V a. y DATE ^ INEFLCTOR E SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON FLY CONDUIT sl�\ Y �.s71
WE" ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _
R[CTRICAL WIRING WIRING
1 MPER
HEREBY CERTIFY TAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY ANGELES COUNTY A AT[ OR FIXTURES
CALIFORNIA OR THAT I T L HER "OVE
o[ecnm ED REQm[NTUL OF POWER\
SIGNATURE UTILITY CO NOTIFIED
ITTE FINAL
CASH ARTHUR C VETT
NO
CASH SUPERVISING E
CTRICAL NpINEER
CK
LIAC060.2.2 M31 2 A 820 M
- - ib�y�if�%llr�✓