HomeMy Public PortalAbout9644 WEDGEWOOD ST_Electrical__ • �, qpm FOR
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DOS-S9 APPLICATION F®R ELEC ■ ROC PERMIT 1
DOS-SA 8•$B
DIVISION OF BUILDING AND SAFETY '
Deportment of County Engineer
County of TAS Angeles - BUILDING
WM.J.FOX,COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN.SUPT of BUILDING
LOCALITY '
FOR APPLICANT TO FILL IN NEAREST �®
PERPM FEES CROSS ST.
NUMBER EACH FEE
OWNER • �!
LIGHT OUTLETS
"'- MAIL
c RECEPTACLES ADDRESS
WALL SWITCHES
TOTAL OUTLETS g¢ $ CITY TEL.NO.
ELEC.RANGES 25 ELECTRICIAN
_ELEC. HEATERS _ 25 A6 ADDRESS D -y�r� Afse24,0,117
KW EA CITY �e� e�� TEL.NO O
FIXTURES 175 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRIC NO. IGROLIFkZ? . I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
r, NEW MVD. HP OVER INC.. EACH
@ LESS $ .25
16 2 .50. ?
2 5 1.00
5 15 1.50
P
i5 50 2..50
50 200 5.00
r
MISC. Qo J
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT: .
WIRING $1.00
FIXTURES $1.00 •�
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE g o . DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A LIC TION ' CONDUIT
AND STATE THAT THE ABOVE 1$ CORRECT AND AGREE TO COMPLY l�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING a. 3L- QA—
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY,.-LOS ANGEL OU AND Sj TE OF
CALIFORNIA OR THAT I SAM'THE LEG L W �0 THE' ABO E POWER
h" DESCRIBED RESIDE IAL PR PPERTY. /�
SIGNATURE e UTILITY CO.NOTIFIED
OF PERM ITTE a l-eA z. ^ -, FINAL W
WILLIAM J.P07C.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF'ELECT.INSPECTOR
To 5 8 1 9 u PLAY 3 2 7.7 0 �
76AES8 APPLICATION FOR ELECTRIC PERMIT 1
DBB.BA IDMSION OF BIM]ATG AND S=y -
Department Of County Engine= =LOCALITY
County of Los Angeles
JOHN A.LAMBIE.•CoUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING IV
FOR
PEE=APPLICANTTO FILL IN c osa ST'. '
NUMBER
LIGHT.OUTLETS OWNERMAIL
RECEPTACLES ADDRESS
WALL SWITCHES �! FEE CITY TEL.NO.
TOTAL OUTLETS s2 $ /Z9
ELECTRICIAN
RICIAN 7 d
ELEC:RANGES 25 ADDRESS / /P
ELEC.HEATERS 2s
ItUf
EA STATE B� TEL.NO -
STATE iJ
FIXTURES H LICENSE NO. d
MOTORS DISTRICT NO. GROUP ZON READY FOR INSPECTION
NUMBER HORSEPOWER FEE -I
NEW MVD. HP OVER INC. EACH
Yz a LESS $ .2s INSPECTION RD
2 .so
2 S 1.00
S is l.so
is 90 2.so
s0 200 8.00
M ISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00 0
FIXTURES $1.00
SUPPLEMENTARY .s0 APPROVALS
TOTAL FEE B DATE ' INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE T0. COMPLY CONDUIT
WITH.ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPER REGiST D AND/OR FIXTURES
LICENSED AS REQUIRED BY S ANGELE C U N S E OF
CALIFORNIA OR THAT i THE LEGA OF AB E POWER
DESCRIBED RESID [AL PERTY. UTILITY CO.NOTIFIED S `3G - ��,,,,..,
SIGNATURE y� /� n
OF P1:RMITTE FINAL O � i-�lnJ�E+_X
JOHN A.LAM .COUNTY ENGINEER VALIDATION ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR
CK MO CASH
lCo4 5 e 2�',R MAR2S 2 1.10