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COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J FOX County Engineer
FOR APPLICANT TO FILL IN ��yy DISTRICT GROUP ZONE PERMIT NO
ELECTRICIAN /� Gr T 1=.0 4 9
�/ RECEIVED BY READY FOR DATE ISSUED
ADDRESS l p 4 Q /--/\/l/T- 'S 7— j FIRST INSPECTION
CITY( ) Cil/ TEL NOS -3� S
COUNTY LICENSE NO EXPIRES Ls -JO-li3 BUILDING! �')`-/,
PERMIT FEES ADDREHB 'J
NUMBER EACH FEE LOCALITY, �Al
LIGHT OUTLETS NEAREST i
CROSS BT
RECEPTACLES
WALL SWITCHES I OWNER ` t%1 15
TOTAL OUTLETS Sc $ _ MAIL � C
ELEC RANGES 25 ADDRESS f _ I ln— �v/C J
ELEC HEATERS 25 �-
CITY J T—M /'" 1�— e17—), TEL. NO
FIXTURES 5
1 HEREBY ACKNOWLED E THAT I 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 BTATE LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
NEW MVD HP OVER INC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
V2 & LESS $ 25
SIG
%2 2 50 PERMITTEE
cam_ d 2 5 1 DD INSPECTION RECORD v (/
�' ✓ 5 15 1 50
15 50 2 50
I
50 200 JS 00
_ 200 SOO 10 130 J
500 1000 15130 Q
Z
OVER 1000 20 OO
M G SET/FREQ CHANGER HP
I
WELDERS AC KVA 0
GENERATORB KW
TRANSFORMERS KVA
TEMP MOTORS (75% Or ORIO '
MOVED MOTORS (75% OF ORIG)
MISC l
SIGNS
NO NO TRANS
NO NO LAMPS APPROVALS
FOR EACH PERMIT DATE INSPECTOR 9 NAME
WIRING $1 OD IooCONDUIT
FIXTURES $1 00 WIRING '
SUPPLEMENTARY 50 ' FIXTURES
POWER
TOTAL FEE 3 UTILITY,CO NOTIFIED
FINAL 2-
-6A663
-6A668 DBS$ 5A 4 52 /