HomeMy Public PortalAbout4948AGNES AVE_Electrical (6) 76A663 D6S 5A 11 49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT GROUP I ZONE � � � IT N43
ELECTRICIAN
_,,�V RECEIVED BY READY FOR DATE ISSUED
ADDRESS r FIRST INSPECTION �f
CITY TEL NO
COUNTY LICENSE ND EXPIRES BUILDING
PERMIT FEES ADDRESS
FEE
NUMBER OUTLETS EACH LOCALITY
L113HT Sc $ CROSS ST NEAREST
RECEPTACLES 5
FIXTURES s OWNER
WALL SWITCHES 5 MAIL
.V ELEC RANGES 25t ADDRESS
ELEC HEATERS 25I CITY TEL NO
M19C I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED
TOTAL I APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS I AND STATE LAWS REGULATING ELECTRICAL WIRING
NUMBER HORSEPOWER FEE I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NEw MvD HP OYER INC EACH ANGELES COUNTY LICENSE OR 1 AM THE LEGA OWNER
OF THE RESI ENTIAL P OP TY DESCRIB D OV
J
%2 s EBB $ t25%2 2 SIGNATURE OF2 5 I 1 PERMITTEE5 ,s , INSPECTION RECORD
15 s0 2
so 200 Soo
200 500 1000 14
Soo 1000 1 5 oo7-11
J
OVER 1000 2000 Z
M G SET/FREQ CHANGER HP v m
WELDERS AC KVA Ix
GENERATORS - KW O
TRANSFORMERS KVA
TEMP MOTORS (75% OF 13RIG)
MOVED MOTORS (75% OF DRIG)
MISC
SIGNS
TYPE NO TRANS
TYPE NO LAMPH APPROVALS
FOR EACH PERMIT DATE INSPECTORS NAME
WIRING $100 CONDUIT
FIXTUREB $1 00 WIRING ,p
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE $� UTILITYCO NOTIFIED
FINAL 1' �� �� � iy�a----��'
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