HomeMy Public PortalAbout5614 SULTANA AVE_Electrical__ A
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,1111 EA nAPPLICATION FOR ELECTRIC PERMIT 1�
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
Coany of Los Angeles BUILDING 1
WM J FOX COUNTY ENGINimR ADDRESS
CAneATT D GRIFFIN. QUIP T of BUILDIMO
FOR APPLICANT TO FILL IN LOCALITY
PERMIT FEES "c 0 ,sr .v LFf [��C
PEE
NUMBER EACH i,� //
LIGHT OUTLETS OWNER /, [�i�l /{J�
RECEPTACLES AD RE88A/1 G� /�—
WALLSWIiCH68
TOTAL OUTLET II/
ELEC RANGES 25 ELECTRICIAN ✓`�v
ELEC HEATERS 2D ADDRESS
NW EA CITY tp TEL 10 f''
FIXTURES D LICENSE N
NUMBER OF LIGHT CIRCUITS
M q RECEPTACLECIRCUITSDISTRICT NO GROUP ZONE I READY TOR INSPECTION
MOTORS
NUMSXR HORSEPOWER FEE INSPECTION RECORD
NEW MVD HP OVER INC EACH
_ Q L[eR S 25 -�•
2 DO _
2 5 100
D 16 150—
!5
DOiD DO 250 _
DO 200 500
MISc
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT _
WIRING $100 0
FIXTURES $100
SUPPLEMENTARY DO _
APPROVALS
TOTAL FEE s DATE INSPECTOR 9 SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT f
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FI%TUgE6 l 11
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT 1 A INE LEGAL OWNER OF HE ABOVE
DESCRIBED RESIDENTI L P PERT, UTILITY CO NO IVIED S
SIGNATURE4
OF PERMITTEE as tn,p FINAL K
WILLIAM J FOX,COUNTY ENGINKER V�7C7T•: 0i 14r. W 25 2 4.70 p
1W
By
® DEPUTY