HomeMy Public PortalAbout9002 WOOLLEY ST_Electrical__ DOS-SA 9•S5 D A LICY"\TION ■ O■ \ ELECt ■@C PERMIT
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DOS-SA
DIVISION OF BUMDING AND SAFETY
Deportment of County Engineer
County of Los Angelos BUILDIN
ADDRESS O o7 C :L.N
WM.J. FOX, COUNTY ENGINEER �—.CASSATT D.GRIFFIN•SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL INNEAREST
PERIVdIT FEES CROSSST.NUMBEREACHFEE
LIGHT OUTLETS OWNER ` '
MAIL
RECEPTACLES ADDRESS � GWALLSWITCHES
[, TOTAL OUTLETS 5¢ S CITY ELEC.RANGES 25ELECTRICIAN ELEC. HEATERS 25 ADDRESSifeKW EA CITY S� F`
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GROUP I ZQN'E READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
$� MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
c NEW MVD. HP OVER INC. I EACH
a
1/2 B LESS $ .25
a" 1/2 2 .50
2 5 1.00
5 15 1.50
15 50 2.50
i
50 200 5.00
a
MISC. /1
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
r
FOR EACH PERMIT,
;. WIRING $1.00 O
FIXTURES $1.00
5 SUPPLEMENTARY •50 APPROVALS
TOTAL FEE S DATE INSPECTORS SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
a AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
4 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY ANGELES CO NTY AND STATE OF 1
CALIFORNIA OR THAT I I T AL ER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL Y.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE FINAL �Z • f�
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WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECT1114
Co 9'2 2 9- OCT 2 0 2 1 .2 5 '�