HomeMy Public PortalAbout4938AGNES AVE_Electrical (6) s 76A663 DHS SA 11 sa APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
a COUNTY OF LOS ANGELES
( WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO Ft INDISTRICT NO GROUP ZONE PERMIT NO
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ELECTRICIAN #/
RECEIVED BY READY FOR DATE IB9UE
ADDRESS �1 FIRST INSPECTION
CITY TEL. NO v /—�
COUNTY LICENSE EXPIRES BUILDING
� / (7
PERMIT FEES ADD
FEE LOCALITY
NUMBER EACH
LIGHT OUTLETS NEAREST
CROSS ST
RECEPTACLES
WALL SWITCHES OWNER O
TOTAL OUTLETS 5C S MAIL
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 CITY TEL. NO
FIXTURES 5 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE IS 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 1 POSSESS THE ABOVE VALID LOB
NuMerR HORSEPOWERFEE ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
NEw MVD HP OVER INC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
%2 s LESS $ 25 SIGNATURE OF
%2 2 50 PERMITTEE
i
2 5 1 013 INSPECTION RECORD
_ 5 15 7 50 n
is SO 250
60 200 Sao
200 500 1000 J
5001000 1500 Q _
OVER 10130 2000 Gad
–M-13 SET/FREQ CHANGER HP • L.IP'i.. J'y
WELDERS AC KVA r
GENERATORS KW
TRANSFORMERS - KVA
TEMP MOTORS (75% of DRIO) —
MOVED MOTORS (75% OF ORIO)
MISC
SIGNS
NO NO TRANS APPROVALS
NO NO LAMPS
FOR EACH PERMIT DATE INSPECTOR 9 NAME
WIRING $1 00 CONDUIT
FIXTURES $100 WIRING
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE �� '/� UTILITY CO NOTIFIED
/
-FINALj
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