HomeMy Public PortalAbout6125 SULTANA AVE_Electrical__ DBG-SA 9•BB APPLICATION ICA`�'ION FOREELECTRIC PERMIT
1
DBB•SA
DIVISION OF BUMDING AND SAFETY ,
Dep olrtmant of County Engineer
Countyof Los Angeles BUILDING L
WM.J.'FOX.COUNTY ENGINEER ADDRESS
rd AIA A vE
CASSATT D.GRIFFIN.SUPT OF BUILDING
LOCALITY Cd Cl 7
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
NUMBER EACH FEE
LIGHT OUTLETS OWNER
RECEPTACLESMAIL
Aq ADDRESS L E
WALL SWITCHES
'-
TOTAL OUTLETS 5¢ $ CITY. TEL.NO.
-ItLEC.RANGES 25 ELECTRICIAN
ELEC. HEATERS 25 ADDRESS
KW EA CITY TEL.NO.
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - ;DISTRICT O. I GRQWZfr)N READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
Tioe &LESS S .25
116 2 .50
2 5 1.00
5 15 1.50
15 50 2.50
50 1 200 5.00 •
CAi y
MISC.IsodyAdec ✓ 6 /
/.
07
• �d/ /1G:!A—'a� I�.�J.(l tai/�'//'tl:�
NO.SIGNS NO.TRANS. /f
NO.SIGNS NO.LAMPS �1 QD`F�Iamp a/�,U.
FOR EACH PERMIT:
WIRING 31.00 ter/ � L
FIXTURES $100 ! C4)ye .C
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE g DATE INSPECTORS SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A LIC ON CONDUIT
" AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CO PLY' }} �
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING J �� X11 /f•i fl4
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT I 'AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED'AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
L
-CALIFORNIA OR THAT 1 AM THE LEGA0 ER OF THE ABOVE POWER
DESCRIBED RESIDENTIA PERTY. ,a•
SIGNATURE UTILITY CO.NOTIFIED �2 'F,^
OF PERMITTEE FINAL
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR
__. _ L&25 .94"N FEB 7 2 5.35 m