HomeMy Public PortalAbout9560BISBY ST_Electrical (2) J 1
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000BTY OF LOS ANGELEB APPLICATION FOR PEHIM
Department of Countt Enonwr
DIVISION OF BUIMING & SAFETY ELECTRIC i
WILLIAM 1 FOX. Ooaaty Emolow
FOR APPLICANT TO FILL IN DIMTRICT NO. GROUP ZONE PERMIT Nom.
ELEM-RICIAt4.
ADDRESS [ [IVED/BY FIRST IM! [OTION
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000NTY LIORP401K N0. EXPIRE QU1LDIN0
PERMIT FEES ADDRESS
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NUMBER [ADH I DOALITY
LIUHT OUTLETS N[AR[3T r
D O
R[D[PTADLES
WALL NWIT13HEE - OWNER
TOTAL OLITLETB MAIL
ELEO. RAN139M 26 ADDRi�
[LSO. H[ATTM 7B
CITY TEL. NO.
FIXTURd
I H[RISY Aa KNOYVI..EDO[ THAT I HAVE READ THIS
IND. APPLICATION AND QrATK THAT THC AIOVK 10 OORREDT
NUMBER OF LIDHT OIROUITB AND ARRA TO DOMPLY WITH ALL COUNTY ORDINANDEB
NUMM[R OF RECEPTAOLE OIROUITS AND STATT LAWS REGULATING ELiOTRIDAL WIRING.
MOT0148 I GKKTIFY THAT 1 130101110110 TH[ ABOVE VALID LDI
NuwaER HORSEPOWERFE[ NAGELES
OOUNTY LIOKKUX. OR 1 AM THE LEGAL OWNER
N[w Mw. Hr W[R Ima. KAMM OF THE ROIDEMTIAL IN tRTY DESCRIBED ASOVL
Va • Ito III .28 ■IGHATMRE OF r
vit 9 .50
IT
' B 1.00 INSPECTION RECORD
I 1B 1.50
16 60 SL 6O
60 ZOO 5.00
00 BOO 10.00 J
6O0 IOOa 15.13D Z
OVER I om YO.00
M.B. SET FR 13HAND[R-HP Q'
WLLD[RSIAO-KVA O
G[NERATDR/ - KW
TRANSFORMERS - KVA
TEMP. MOTORS 75or DR1m.
MOVED MOTOR■ (76 or oRiRJ
1
BIONS
NO. N D.T RAN IL
N il -NrL LA APPROVALS
FOR EACH PERMITS DAPI INIT[IITOR'S NAM[
WIRING Ipl.tN3 r CONDUIT
FIXTURES ol.ao d WIRING vnyxyy
9LJFftKMXWAJRyQ FIXTUREB
fJ POYV[I!
TOTAL FEE / u-rIuTY am.NOTIFIED
FINAL d�
7&"M DM#•A iia
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