HomeMy Public PortalAbout5547 WELLAND AVE_Electrical__ IGA663-CESOG-7-56 APPUCATI®IN FOR 'ELECTRIC PERMIT
BUILDING AND SAFETY DIVISION
Department of County'Engineer BUILDING �*�
County of Los Angeles ADDRESS �ti/�7 /9 �Y
JOHN A.LAMBIE. COUNTY ENGINEER °��
CASSATT D.GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN
NEAREST. `'. �V
PERMIT FEES y-�
NUMBE OWNER tJ Y —e
LIGHT OUTLETS •
MAIL ADDRESS
h
ADDRESS �. /'�
RECEPTACLES �Lfll
WALL SWITCHES FEE CITY JrEL.NO.� _ 7 ZS\
TOTAL OUTLETS 5¢ $ ELECTRICIAN
ELEC.RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL.NO.
•KW EA STATE.
FIXTURES 5 XT LICENSE NO
MOTORS DISTRICT NO. I GROUP I ZONE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE 7A"_
NEW MVD. HP OVER INC. EACH
>�&LESS $ .25 INSPECTIbN tRECORD
25 1.00
5 15 f.50
Is 50 2.50
50 1 200 5.00
MISC.
f
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
` WIRING PERMIT $1.00 r'
FIXTURE PERMIT $1.00 r
SUPPLEMENTARY :50 APPROVALS
TOTAL FEE $ tj DATE INSPECTOR'SSIGNATURE
I HAVE HEREBY ACKNOWLEDGE THAT I HE 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. FIXTURES o • sdni
I-HEREBY CERTIFY THAT .1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI PROP TY. UTILITY CO.NOTIFIED I i
SIGNATURE v
OF PERMITTEE FINAL
SIMON
IOHN A.LAMBI VALIDArjQQ% ARTHUR C.VEIT.
..OUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER
(�J
CK MO GASH
bICO 4 9 3 5 FEB 8 2 3.2 0 �