HomeMy Public PortalAbout9638 WOOLLEY ST_Electrical__ S3
DOS-SA 3-55APPLICATION- FOR ELECTRIC PERMIT
DBS- (/J
DMSION OF BUMMUG AND SAFETY f
DepDrbnent of County Engineer
County of Los Angeles BUILDING
WM.J. FOX,COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN.SUPT OF BUILDING •
�Ij LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
NUMBER EACH FEE OWNER
LIGHT OUTLETS
RECEPTACLES MAIL y `�
ADDRESS &^�
r WALL SWITCHES ±zak
TOTAL OUTLETS5¢ g . "cj CITY TEL.NO.
` ELEC.RANGES 25 e�LL ELECTRICIAN
_ELEC. HEATERS 25 d ADDRESS .
KW EA CITY EL.NOW241�26e&64'
FIXTURES 8 4>x LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRICTN. I GROUP I ZQI�E READY FOR INSPECTION
'O
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
�2 B LESS S .25
2 .50
2 5 1.00
5 15 1 1.50
15 50 2.50
50' 200 5.00
M ISC. sAge; 'Zff
i
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT
WIRING $1.00
FIXTURES 51.00 (�B
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT C�l�l C�G1'
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY /
Ile
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ` �1 �7�
ELECTRICAL WIRING.
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 THE ABOVE POWER -- t q
DESCRIBED RESIDENTI L PROPERTY
SIGNATURE . UTILITY CO.NOTIFIED dI-tR•f A(l
OF PERMITTEE FINAL S'
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT,CHIEF ELECT.INSPECTOR
'; CQ3 1 2 FE823 2 5.95