HomeMy Public PortalAbout9825 VAL ST_Electrical__ Dee DA 11 ee APPLICATION FOR-ELECTRIC PERMIT 1
DIVISION OF B=DING AND SAFM
Deparbmnl of County Engineer FDDR
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ADDRESS
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JOHN A LA SIE.COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING THUMBER1
OR APPLICANT TO FILL IN PERMIT FEES r R /
T OUTLETS MAILEPTACLES ADDRESS
L SWITCHES FEE CITY TEL NOOTALOUTLETS 0 S ELECTRICI
ELEC RANGES IIS ADDRESH
ELEC HEATERS IIS
HW CITY NO
SPATE
FIXTURES S LICENSE NO
MOTORS DISTRICT NO I GROUP I ZONE I RUDY MR 111211 TIDE
NUNe¢R HORSEPOWER FEB
N61Y YVG HP OVR INO BAOX
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132
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MISC _ r a nlixeesloA kmsNO BIONS NO TRANS
N SIGNS NO LAMPS
FOR EACH PERMIT
WIRING 100FIXTURES lI00SUPPLEMENTARY SOAPPROVALS
TOTAL FEEDATE IRSPSC70R'S SIONATURH
I HEREBY ACKNOWLEOBE E IS 1 HAVE READ THINANO STATS THAT THH DIVA IS CORRECT ANO A WLY CONDURWITH ALL COUNTY ORDINANCES ANO STATE LAWGELECTRICAL WIRING WIRING "1 HEREBY CERTIFY THAT 1 AS PROPERLY REGISR FIXTURESLICENSED AS REQUIRED BY LOS ANGELES COUNTY OFCALIFORNIA OR THAT I AY THE LEGAL OWNER VE POWER
DESCRIBED RESIDENTIAL PROPERTT
SIGNATURE UTILITYCO N01TFIED
OF PARM1TTEE FINAL
JOHN A V.MBIE.COUNTY Emommm _YJVMATION ARTHUR C.VEIT.CH1R ELYCT.INBP6CTOR
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APPLICATION FOR ELECTRIC PERMIT 1
DIVISION OF BUILDING AND SAFETY
Depoilment of Co=tp E5gh5
CDUBIT of LGe Angeles ILDING A
WM J FOX COUNTY ENGINEER RE69 i�
CABBATT D GRIFFIN SUP T OR BUILDING
FOR7N7�7
ALITY
PERM REST
CROSS
6T
FEE
LIGHT OUTLETS NERRECEPTACLES ILRESS
WALL SWITCHES
TOTAL OUTLETS 5# a CITY TEL NO
ELEC RANGER 25 ELECTRICIANAMIJ
ELEC HEATERS 25 ADDRESS ?LSO
KW EA
CITY TEL NO
FIXTURES 5 LICENSE NO
NUMBER OF LIGHT CIRCUITS DISTRICT NO GROUP Z NE AEABY FDR Ixa PECi IB%
MBE O RECEPTACLE B
MOTORS O
NUMBER HORSEPOWER PEE INSPECTION RECORD
NEW MVO HP OVER INC EACH
�f
7/- 10 jj B LEee f 25 Q
1— 2 50
_ 2 5 IGO _
5 15 I50
15 50 250
ISO 200 500
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100 f O 6
FIXTURES SI 00 4-0
SUPPLEMENTARY 50 _
APPROVALS
TOTAL FEE s [ 60 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 2'
ELECTRICAL CERINS /
I HEREBY CERTIFY THAT 1 AY PROPERLY REGISTERED ANO/OR FIXTURES
LICENSED AS REQUIRED A LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT 1 AY THE L ONSER OF THE ABOVE
DESCRIBER RfiSI DEX /
SIGNATURE �\�/���`E�/ UTILITYCO NOTIFIED
OF PERMITTEE FINAL
WILLIAM J FOX COUNTY ENGINRER VAPID � 9'3 7V FEB 28 2 7.00 --D
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