HomeMy Public PortalAbout5803AGNES AVE_Electrical 76AG63 DES SA I, SO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF EWGINEER
FOR PPLICANT TO FILL IN DISTRICT NO GROUPZONE PERMIT NO
ELECTRICIAN /) RECEIVED BY READY FOR DATE ISSUED
U
ADDRESS_ FIRST INSPECTION
CITY V ' TEC NO 'F_ s.�p�/��
COUNTY LICENSE NO O EXPIRES BUILDING
ADDRESS �.J !� y ►t✓�
PERMIT FEES
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES ��'CROSSST (/v V "tom{/✓VV—ur+vn7 /jf+�(/��'e1
WALL SWITCHES OWNER I
TOTAL OUTLETS 5C $ MAIL
ELEC RANGES / 25 Z,S� ADDRESS
ELEC HEATERS 25
CITY TEL. NO
FIXTURES 5 1 HEREBY 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 I 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 PROPERTYDESCRIBED ABOVE
%2 6 LESS $ 25 SIGNATURE OF
1�2 2 5O PERMITTE
2 5 1 DD INSPECTION_RECORD
5 is 1 so
is 50 250 -
50 200 5 OO �� �M a.A e T" v—em§
2013 Boo 10 Do � .� � J
500 loco 1500 Q
OIjO�/4 mb7"f�. Z
OVER 1000 2000
M G SET/FREQ CHANGER HP
v G
WELDERS AC KVA
GENERATORS KW
TRANSFORMERS - KVA
TEMP MOTORS (75% OF ORIO) —
MOVED MOTORS (75% OF ORIO)
MISC
SIGNS
NO NO TRANS
APPROVALS
NO NO LAMPS
DATE INSPECTOR 9 NAME
FOR EACH PERMIT
WIRING $1 00 (�G CONDUIT
FIXTURES $1 00 WIRING
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE s� UTILITY CO NOTIFIED
FINALsLl�,,._.e. �/�