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76A603 DBS SA 11 50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES � ����� 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZONE PERMIT NO
ELECTRICIAN R. F Walton 7
RECEIVED BY READY FOR DATE ISSUED
ADDRESS 5134 N. Acacia St. FIRST INSPECTION
CITY San Gab. TEL NO AT 685839-17,57
COUNTY LICENSE NO 1104 EXPIRES BUILDING
PERMIT FEES ADDRESS 5014 Alessandro
NUMBER EACH FEE LOCALITY Temple Cit
LIGHT OUTLETS 10 NEAREST
RECEPTACLES 19 CROSS ST
WALL SWITCHES 18 OWNER Turner Homes
TOTAL OUTLETS 47 5c $ 2 35 MAIL
ELEC RANGES 25 ADDRESS
ELEC HEATERS ? 25 CITY TEL NO
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FIXTURES 0 5 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS i AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
FEE
NEW :MVDj HP OVER INC EACH
OF THE RESIDENTIAL P TY DESCRIBED ABOVE
I
a LESS $ 25 1 25 SIGNATURE OF
1/2 2 50 PERMITTE
2 5 1 00 INSPECTION RECORD
5 15 1 5o
15 50 2 50
50 200 5 00
200 500 10 00 ,J
Soo 1000 15 00 Z
OVER 1000 20 00 0
M G SET/FREQ CHANGER HP Ir
WELDERS AC KVA 0
GENERATORS KW
TRANSFORMERS KVA
r
TEMP MOTORS (75%OF ORIG )
MOVED MOTORS (75%OF ORIG )
MISC
SIGNS
NO NO TRANS I APPROVALS
NO NO LAMPS
DATE INSPECTOR S NAME
FOR EACH PERMIT
CONDUIT
WIRING $1 00
FIXTURES $1 00 WIRING ,A—,-,� 'p� gam/
SUPPLEMENTARY 50 FIXTURES JPT
5 10 POWER r1
TOTAL FEE $ UTILITY CO NOTIFIED 1,A
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® FINAL 1 4/ T
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