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HomeMy Public PortalAbout6336 TRELAWNEY AVE_Electrical__ CBS BA3 ee APPLICATION FOR ELECTRIC PERMIT Z DIVISION OF WELDING AND SAFETY Depcmtment of County Englm. County of Los mgaloes BUILDING WM J FOX COUNTY ENOINBEII ADDRESS 41 CASSATT D GRIFFIN SUP T OF BUILDING ' LOCALITY f I FOR RAAPPLICANT TO FILL IN NEAREST FEES CR O88 ST NUMBER EACH FEE LIGHT OUTLETS OWN E RECEPTACLES MAIL ADDRESS WALL SWITCHES TOTALOUTLETS 3 s15E TE O ELEC RANGER 25 TRICIAN ELEC HEATERS 25 ESS NW EA TEL NO FIXTURES B LICENSE NO NUMBER OF LIGHT CIRCUITS TRICT NO GROUP ZONE REARM Fop IN[P[cTlop NUMBER OF RECEPTACLE CIRCUITS Gam'MOTORSJ HUMORSno EPOWER FEE INSPEIMON RECORD NEW MVO e LES[ 2B 2 SO S 100 IB 1 BO BO 2BO 200 500 _ n f J MISG NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING e1 00 FIXTURES 1 00 4 b SUPPLEMENTARY BO APPROVALS TOTAL FEE a DATE INSPECTOR 3SIGNATURE I NEREBT ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -744 49 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AN TN L L OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIA ER SIGNATUREUTILITYCO NOTIFIED OF PERM ITTNE FINAL WILLIAM J FOX.COUNTY 6NOINOM VALIDATION A C VrLgr.CHIEF ELECT INSPECTOR lPol 7 3 7ZR ,mN10 2 125 Io