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7d-k9bl DBS SA 11 50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY � ��
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR
APPLICANT T❑ FILL IN DISTRICT NO GROUP ZONE PERMIT NO
ELECTRICIAN PR/CE j.'rcTR/C -SHOP / Z�
RECEIVED BY READY FOR DATE ISSUED
ADDRESS Ojjp (_$ Ayrt �/ FIRST INSPECTION /6
CITY G74 &Q TEL NO / - 1'/Oe
� �,w? �`'� !�
COUNTY LICENSE NO 7n 7 EXPIRES -.5-.7 BUILDI9NG
9 °19
PERMIT FEES ADDREn
NUMBER EACH FEE LOCALITY J
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST
WALL SWITCHES OWNER , 86/e-T'
—TOTAL OUTLETS Sc $ .S� MAIL
ELEC RANGES 25 1 ADDRESS _
r
ELEC HEATERS 2s, CITY TEL NO
_
FIXTURES 5 DS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC "' °'ti APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS ,'L AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
NEW -MVD HP OVER INC EACH OF THE RESIDENTIAL ROPERTY/�DESCRIBED ABOVE
I�2 6 LESS $ 25 SIGNATURE OF ./ a .�c._ ////
%2 2 s0 PERMITTEE= ���GQ
2 s 100 INSPECTION RECORD
_-S- is 1 50
_ ris so 2 SO
50 200 5 00
2013 Soo 1000
S � J
_ soo 1000 1500 ® Q
OVER 1000 2000
Q t7Qr
M G SET/FREQ CHANGER HP
WELDERS AC KVA R r A�rp7-• I�f,/�JU ,�� O
GENERATORS KW �
TRANSFORMERS KVA
TEMP M13TORS X75% DF DRIG)
MOVED MOTORS X7S% OF DRIG)
MISC IV
r SIGNS
NO NO TRANS I APPROVALS
Lu—O NO LAMPS
' 7'+ k
FOR EACH PERMIT DATE INSPECTOR S NAME
WIRING $1 DO CONDUIT
FIXTURES $1 OO WIRING
r
1 SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE oZ�O UTILITYCO NOTIFIED
FINAL
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