HomeMy Public PortalAbout4938AGNES AVE_Electrical `76b¢63 DBS SA II 50 APPLICATION FOR PERMIT
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-DEPARTMENT OF BUILDING AND SAFETY ����
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRI NO GROUP ZONE PE�R°MIT NO
ELECTRICIAN J "
EIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION t
CITY TEL NO in
COUNTY LICENSE NO EXPIRES BUILDING
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS p� NEAREST
RECEPTACLES L�'Q CROSS ST
�WALL SWITCHES �� OWNER
TOTAL OUTLETS 5Cn-,APPLICATION
MAIL
ELEC RANGES 25ADDRESS 49 ws
ELEC HEATERS 25CITY EL NO '�
FIXTURES 5
MISC I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
v
AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS 000,
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 I AM THE LEGAL OWNER
FEE
NEW MVD HP OVER INC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
I/Vl &LESS $ 25 SIGNATURE OF
I/2 2 50 PERMITTEE ,�y���� tA'1<w41
2 5 1 00 INSPECTION RECORD
5 15 1 50
15 50 2 50
50 200 5,00
200 500 10 00 J
500 1000 15 00 Z
OVER 1000 20 00
M G SET/FREQ CHANGER HP Fr
WELDERS AC KVA O
GENERATORS KW
TRANSFORMERS KVA
TEMP MOTORS (75%OFORIG )
MOVED MOTORS (75%OF ORIG )
MISC
SIGNS
NO NO TRANS APPROVALS
NO NO LAMPS
FOR EACH PERMIT
DATE INSPECTOR S NAME
WIRING $1 00 0-0 CONDUIT
FIXTURES $1 00 Q , WIRING
SUPPLEMENTARY 50 �- FIXTURES
lo
POWER
TOTAL FEE $ UTILITY CO NOTIFIED / A .4 !
FINAL