HomeMy Public PortalAbout4901AGNES AVE_Electrical (5) f , OIL
7SASS3 CBS SA 11 SO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
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COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
DISTRICT O GROUPI % PERMIT NO
F1OR APPLICANT TO FILL IN S
4,70"/r RECEIVED BY READY FOR DATE ISSUED
ADDRESS
� /�J is Cv/0160_ � FIRST INSPECTION
CITY J ���i TEL NO x? — /"�� l p� �!► �/
COUNTY LICENSE NO EXPIRES BUILDADDREIN 4I T /V/_"�L A I!F-
PERMIT FEES /� C /1
NUMBER EACH FEE LOCALITY TTCAA AIL Ty
LIGHT OUTLETS NEAREST
RECEPTACLES GROSS ST c�-
fiokn
WALL SWITCHES OWNER
TOTAL OUTLETS SO S 7 D MAIL
ELEC RANGES 25 � ADDRESS
ELEC HEATERS 25 CIT TEL ND
FIXTURES �— 5 1 HEREBY ACKNOWLEDO THAT 1 HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
NEW MVO HP OVER INC EACH OF THE RESIDENT14t PROPERTY ESC ED ABOVE.
I/p 6 LESS $ 25 SIGNATURE 13
_ '/2 2 50 PERMITTE X —
2 5 100 INSPECTION RECORD
5 15 1 50
15 50F20
50 200
2130 500 1000 -1
500 7000 Q
Z
OVER 1 000
M G BET/FREQ CHANGER HP
WELDERS AC KVA O
GENERATORS KW
TRANSFORMERS KVA
TEMP MOTORS (75% OF ORIG)
MOVED MOT13RB (75% OF ORIG)
MISC
SIGNS
NO NO TRANS
APPROVALS
NO NO LAMPS
FOR EACH PERMIT DATE INSPECTOR SHAME
WIRING $7 DO CONDUIT ✓ o� M��,�y C/,
61
FIXTURES $1 DO WIRING /�fj�f
SUPPLEMENTARY 50 FIXTURES
000 POWER
TOTAL FEE S a. UTILITYCO NOTIFIED
FINAL