HomeMy Public PortalAbout9736 VAL ST_Electrical__ 74ADFS BAB NN APPLICATION FOR ELECTRIC PERMIT Z
DIVISION OF BUMDING AND SAFETY
DGparenvntof County Ensinew
County of Las Angel" BUILDING
WM J FOX COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN BUN T OF BUILDING
LOCALITY �...
FOR APPLICANT TO FILA'IIT L IN
PERFEES NEAREST
CROSSST
NUMBER EACH NEE OWNER -V/./,P
LIGHT OUTLETS
RECEPTACLES MAIL
ADDRESS
WALLSWITCHES _.
TOTALOUTLETS 59 s CITY ,I.T
ELEC RANGES 25 ELECTRICI
_ELEC HEATERS 25 ADDRESS v
KW EA CITY TEL NO
FIXTURES 5 LICENSE N
NUMBER OF LIGHT CIRCUITS _
DISTRICT NO GROUP ZONE acnuY FOR IKAPEc ION
NUMBER OF RECHPTACLE CIRCUITS
MOTORS
NUMNKR HORSEPOWER PEE INSPECTION RECORD
N8W MVD HP OV[R INC <ACH
e LGG6 • 2S
2 60
2 B 100
s 1e 1B0 •S b— 7' F
1 B 60 2 60 r
BO 200 500 r
MISC
NO SIGNS NO TRANS
NO SIGN NO LAMPS
FOR EACH PERMIT
WIRING 31 00
FIXTURES 11100
SUPPLEMENTARY 40 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
ELECTRICAL WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMD/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE UTILITY CO NOTIFIED
OFPERMITTEE FINAL —/ 5
WILLIAM J.FOX. COUNTY ENGINKKR VALIDATION A C VEIT.CHIS KIECT.INSPECTOR
Q5 17 31S `UN29 2 1 .1 5 111