HomeMy Public PortalAbout5106 SULTANA AVE_Electrical__ DRS SA'a ee APPLICATION FOR ELECTRIC PERMIT Z
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DIVISION OF WELDING AND SAFETY "r
i DeprWueDt of Counlp EDglneeT
Cif/ DI Los Am BUILDING �� S�zltans
WM J FOX COUNTY ENGINEER ADDRESS r
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY lem le Cit
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST
NUMBER EACH FEE
LIGHT OUTLETS OWNER POH
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES `
TOTALOUTLETS 6 f 1 CITY T
ELEC RANGES 25 ELECTRICIAN G
ELEC HEATERS 23 ADDRESS 1800 S_ rurtig
KW EA CITY TEL NO
FIXTURES 6 LICE 8 N
NUMBER OF LIGHT CIRCUITS
DISTRICT NO GRQUPOIJE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS � 47
MOTORS
NUMe¢Rrl
HORSEPOWER FEE INSPECTION RECORD
H[W MVD HP OVER INC EACH
e Lue 25
2 50
2 5 100
6 15 150
fa 50 250
ao 200 500
MISC
I
t
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING f100 uQ
FIXTURES f 100
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE Is DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT [-HAVE READ THIS APPLICJR :F
IT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CO
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULG
ELECTRICAL WIRING
I HEREBY CERTIFY TNAT 1 ERLT RE 1 ED AES
LICENSED AS flEDUIRED ST COU ND STACALIFORNIA OR THAT I OW F T1IE DESCRIBED RESIDENT[SIGNATURE Y CO NOTIFIED
OF PERMIT FINAL
WILLIAM J.FOX.COUNTY GINGER VALIDATION A. C.VEIT.CHIP ELECT INSPECTOR
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