HomeMy Public PortalAbout5724 OAK AVE_Electrical_2/18/1957_76AGGS B. -5s
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11-55 APPLICATION FOR ELECTRIC PERMIT
7IVISION OFBUILDING
ngi SAFETY "DRESS
' Q1* ..
42JY111 &"I,
Los Angeles
� Department of County Engineer
sS C ) Cl$1r At
JOHN A. LAMBIE. COUNTY ENGINEER .�.„,
CASSATT D. GRIFFIN, SUPT OF BUILDING
■l u. lNIIII:I lA I, 111 11 1 1 1 1 IH &111 YID 11 :. ib lily LOCAL
1 FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST. TATo Onlr
■ NUMBER
I I LIGHT OUTLETS
RECEPTACLES
q WALL SWITCHES
TOTAL OUTLETS @ SC S
ELEC. RANGES I 25
1
OWNER Pracii
MAIL
ADDRESS
FEE CITY TEL. NO.
--�� ELECTRICIAN(np3 ag & Onp J.1 an t^j6
ELEC. HEATERS
25 ADDRESS I (11n N rrandview Ave. KW EA I CITY So. ,S'pn rphrial TEL. NO.A}n_'Jnn,
STATE
]. FIXTURES 5 .05 mCENSE NO. i? I71
MOTORS . :1 1 n 1 , d
DISTRICT N 0, : u^
�L
NUMBER HORSEPOWER FEE tj �
NEW MVD. HP OVER INC. EACH
a 11
READY FOR INSPECTION
OTAL FEE J S 2I 4
INSPECTION RECORD
/z a LESS
S .25
Y2
2
.501
2
5
1.00
5
15
1.50 11
15
50
2.50
I
1
50
200
5.00
11
MISC.
ill
NO. SIGNS
NO.
TRANS.
NO. SIGNS
NO.
LAMPS
FOR EACH PERMIT:
_WIRING
$1.00
_ 00
FIXTURES
$1.00
1 .00
SUPPLEMENTARY
.50
APPROVALS
T
n
3 DATE INSPECTORS SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THII APPLICATIIN
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT 1 I I 1
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. = WIRING,�,I,
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR = FIXTURES �A
LICENSED AS REQUIRE LOS ANGELES COUNTY AND STATE OF
1 ABOVE =POWER L+
CALIFORNIA OR THA I M TFFF���EEE���LEyh6�OWNER OF THE
SIGNATURE DENT A ROPE. ( 1
DESCRIBED REST 1\_/{_i tt�xn.(� - UTILITY CO. NOTIFIED 11� �JNS
OF PERM eTTFF I' /.CHIFINALIOHN A. LAMB nu1�.��ilE. COUNTY ENGINEERDATION ARTHUR C. VE T, CHIEF ELEOR
MO CASH
�'! ali10 7 2 5 7 0 Fr, 15� 2 2.3 C In