HomeMy Public PortalAbout9542BISBY ST_Electrical 76A663 DBS 5A 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIC O. QrROUP ZONE PERMIT NO.
ELECTRICIAN
�.. RE IVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION _
CITY }.; �.} ? /.`f ..r' t,,,,"(�)^! %r
✓//. ..P i ,/ TEL. NO.PAYG�7 j 0
COUNTY LICENSE NO. EXPIRES BUILDING yj
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS t NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS Sc $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 2 CITY TEL. NO.
FIXTURES 5 G
I 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 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE
NEW MVD. HP OVER NC. EACH
OF THE RESIDENTIAL ,PROPERTY DESCRIBED ABOVE.
I
1/2 &LESS $ .25 SIGNATURE OF
i/2 2 .50 PERMITTEE �+ ;-:� ♦.,' ''� �� �x�• -.
2 5 1.00 INSPECTION RECORD!
5 15 ,.SO _
15 50 2.50 •\ O ' �" ' ,'� 1,`'/�^1
so 200 5.00 O CA M.1 T C . V,YDE'Q
200 500 10.00 �E12MfT 1?er4l. O� 3 AD M-Tur< J
Soo 1000 15.00 ,'3 �rrri'jS /g"'r,5' M)9`,' wo T RCr z
OVER 1000 20.00 U
M. G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA �J ��U�! /��J-f �oo /�ll'9�✓y �;�0
GENERATORS-KW �I p �L SAP"ec
TRANSFORMERS-KVA 3 �w O �ofc EYr rpy �M ,
TEMP. MOTORS (75%OF ORIG.) cl
`T
MOVED MOTORS (75%OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 lo v CONDUIT
h FIXTURES $1.00 , d v WIRING r_
SUPPLEMENTARY .50 �- FIXTURES
POWER
TOTAL FEE $ r UTILITY CO. NOTIFIED 1 ���� �•A
�� ti FINAL v-- 1 g.j'1.- �=~��!'^♦