HomeMy Public PortalAbout5556 WELLAND AVE_Electrical__ D �4P
OS-SAPL.ICATION FOR ELECTRIC PERMIT 1
BS.BA(d.88
DIVISION OF BURDMG AND SAFETY
DepD2bnent of County Engineer BUILDING / y�
JOHN County LAMB f os Angeles
n Ye$NGINEER ADDRESS .S C2 44 A d P7 P E
CAS13ATT D.GRIFFIN,SUPT OF BUILDING LOCALITY to 11A
FOR APPLICANT TO FILL IN NE ss T
PEMT FEES � I ve 4 /C
NUMBER /, s s e
OWNER f? J 1 K -
LIGHT OUTLETS MAIL �+ /
I.�' • RECEPTACLES ADDRESS 7 J-S W�r IV3' WALL SWITCHES FEE CITY ' ` 77'v10110 4 I7— TEL.NO.rd o IR3 q 7
a.at TOTAL OUTLETS ® Be $ ELECTRICIAN
ELEC.RANGES 20
ADDRESS -
ELEC.HEATERS 2B
KW CITY TEL.NO..
STATE
FIXTURES g LICENSE NO.
MOTORS DISTRICT NO. GROUP ZONE READY FOR INSPECHOB
NUMBER HORSEPOWER FEE
NEW MVD. HP OVER INC. EACH
B LESS $ .zs � INSPECTION IRR
Ifz 2 .00
2 s 1 1.009/P., 1
s Is 1.50
Is s0 2.80
Bo 200 8.00
M ISC.
ws
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT: zA b
WIRING $1.00
FIXTURES v-00
SUPPLEMENTARY •$p U APPROVALS
TOTAL FEE S D . DATE INSPECTORS SIGNATURE
I HEREBY THIS APPLICATION
AND STATE THAT THEEDGE AB VEIISTCORRE TI HAVEREAD AND AGREE TO COk(PLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING a•
ELECTRICAL WIRING. WIRING �� '46
i HEREBY CERTIFY THAT I AM PROPERLY REGISTERED .AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND.STATE OF
CALIFORNIA. OR THAT I AM THE LEGAL OWNER OF HE ABOVE POWER
DESCRIBED RESIDENTIAL P OPERTY.
SIGNATURUTILITY CO.NOTIFIED +•�;...e
E "/OO��
OF PERMITTEE _ FINAL
JOHN A.LAMBIE,COUNTY ENNGINEERVALIDA ARTHUR.C.VEIT.CHIEF ELECT.INSPECTOR
CK MO CABH
L,jC04 3 0 9 NO m-AR 20 2 4.00 m
ce
���