HomeMy Public PortalAbout5638-5638 1/2 SULTANA AVE_Electrical__ DIUS aBe APPLICATION FOR ELECTRIC PERMIT I
PNMON OF BUELDING AND SAFETY
Depormaent of County Engineer
' Connt��o! Los Angel" euILDINa
WM J FO][ COUNTY ENGINEER ADDRlSB
CASSATT D GRIFFIN SUP T Or BUILDING
LOCALITY �
FOR APPLICANT TO FILL IN NEAREST V
PESMIT FEES 7CROZ. It
MBER EACH FEE
W�
OWNER C
LIGHT OUTLETS
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES
TOTAL OUTLETS 3R CITY NO
ELEC RANGES 23 ELECTRICIAN
ELEC HEATERS 2j 26 1.10 ADDRESS
��ir
KW EA CITY TEL NO
FIXTURES 3 LICENSE N
NUMBER OF LIGHT CIRCUITS
DISTRICT NO I GROUP O E nKADY MR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS ..7
MOTORS �i—
NUMBER 'HORSEPOWER FEE INSPECTION RECORD
NGW YVD HP C) R INC QACH \� IZ� I
B LESS S 2E �•G Ty �F.
2 50
2 e 1 00
e 15 150
le 30 250
30 200 B 00
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $1 00
FIXTURES SI 00 .10
SUPPLEMENTARY30 APPROVALS
TOTAL FEE f ® DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ZZ
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS VOWED LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I "ITHIJ LEGAL pWNER OF THE ABOVE POWER I
DESCRIBED RESIDENTIA ROPER
SIGNATURE ` ITY CO NOTIFIED I\ S S
OF PERMITTEE AL SS
WILLIAM J FOX,COUNTY ENGINEER VALIDATION A C.VEIT,CHIEF ELECT INSPECTOR
M6874n AUG18 2 600
I � m