HomeMy Public PortalAbout9700 WEDGEWOOD ST_Electrical__ 7A663
D:S.SA 9.55 APPLICATION FOR ELECTRIC PERMIT
1
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DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County�of Los. Angeles BUILDIN� p�
WM.J.FO COUNTY ENGINEER ADDRESS V \
CASSATT D.GRIFFIN.SUPT OF BUILDING
LOCALITY ���
~ FOR APPLICANT TO FILL IN NEAREST jry�,, WAA
PERMIT FEES CROSS ST.
NUMBER EACH FEE
i LIGHT OUTLETS OWNER .
RECEPTACLES ' rf MAIL 7 I
ADDRESS? V a
+ �
WALL SWITCHES 1
TOTAL OUTLETS 5¢ 8 CITY TEL.NO.
ELEC.RANGES 25 ELECTRICIA
_ELEC.HEATERS 25 ADDRESS
h KW EA CITY N
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - y DISTRICTNO. GROUP ZONE READY FOR INSPECTION
� NUMBER OF RECEPTACLE CIRCUITS � I
MOTORS
NUMBER HORSEPOWERFEE INSPECTION RECORD
_
NEW MVD. HP OVER INC. EACH
YL&LESS $ .25
Y2 2 .50
2 5
1.00
5 15 1.50
15 50 2.50
. 50 200 5.00
MISC.
i'
NO.SIGNS NO..'TRANS.
NO.SIGNS NO.LAMPS
t FOR EACH PERMIT:
WIRING $1.00
e FIXTURES $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE g DATE INSPECTORS SIGNATURE
c
1 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 STATELAWS REGULATING WIRING i
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT i AM, PROPERLY REGISTERED AND/OR FIXTURES �. r►'�''
LICENSED AS RE III D BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR T ItAT LEGAL OWNER OF THE ABOVE POWER
DESCRIBED'RESIDE I LPy��
SIGNATURE r
UTILITY CO.NOTIFIED
Ci OF PERMITT FINAL iG
WILLIAM J.F X.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF'ELECT.INSPECTOR
C 6 9 5 8 u Jum 14 2 6.75 L
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