HomeMy Public PortalAbout4958 AGNES AVE_Electrical_0 7BAC63 OBS sA 0 49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
ELECTRICIAN
l / o -/
RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION I don
CITY EL NO v S �'� ` `I./��
COUNTY LICENSE NO EXPIRES BUILDING
PERMIT FEES I FEE ADDRESS �J v
NUMBER OUTLETS EACH LOCALITY
LIGHTS Sc I$ NEAREST
RECEPTACLES 5 I O/ CROSS ST (/�.. a..+/y 1
ZFIXTURES 5 I I OWNER -,Al _57 ,51,167W5 Q /!l/
1 WALL SWITCHES 5MAIL
-71 ELEC RANGES 25 F ADDRESS
ELEC HEATERS 25 CITY i `/ TEL NO
y�3L I MISC .�- 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
/ NUMBER OF CIRCUITS INSTALLED
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING
NUMBER HORSEPOWER 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
FEE NEW MVD HP OVER INC EACH ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
I/ &LESS $ 25 1
'/x 2 SO SIGNATURE OF 1
2 5 1 00 PERMITTE
5 15 1 s0 k INSP CTION RECORD
15 50 2 SO
50 200 5 00 .!
200 500 10 00 r7io��'T / (� [7 1 Y� N
soo 1000 15 oo y
OVER 1000 20 00 ! Z
M G SET/FREQ CHANGER HP �a 'T yye, t ,� y�
WELDERS AC KVA 7 ++--i Ah S 4dr) it
0
GENERATORS KW
TRANSFORMERS KVA
TEMP MOTORS (75% OF ORIG )
MOVED MOTORS 750% Op ORIG )
MISC
SIGNS
TYPE NO TRANS
TYPE NO LAMPS
APPROVALS
FOR EACH PERMIT
DATE INSPECTOR S NAME
WIRING $1 00 � CONDUIT
FIXTURES $1 00 WIRING
SUPPLEMENTARY So FIXTURES
POWER I
TOTAL FEE $ UTILITYCO NOTIFIED 12-.41-10
FINAL
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