HomeMy Public PortalAbout9564BISBY ST_Electrical (3) f ,
76"62-tee 7 APPLICATION FOR ELECTRIC PERMIT. ],
BUILDING AND SAFETY. DIVISION
Of LA ADPR]BUILX85 T
JOHN A. L�IB�Sm
. Coumy Ema1NR
CASdA7T D. R1 N,tur^r of]BUILDING LOCAL11-Y d
mi
F_O_F�_�PPLICAN] TO FILL IN C1eEo ABT. fM C /T
RUMBER • OWNER �` •1VN
-
LIOHT OUTLETS MAIL
ADDR1YgS
RECEPTACLES
WALL gWITEHES ITER C►-rY f., T'EL NO. ! SrLS
TOTAL Ou7Lsrg a ELECTRICIAN
ILSC. RANGES : 2a kDDNK"
ELEC, HEATERS QD CITY TW- NO.
KW EA UT TE
LINT13"N
F 6
MOTQRS 1 RI OU ZONt I itUDY FOR IUFic-no■
NUUNKR HORSEPOWER -
H[W MVD. HP ovxm JNC. kACL
i LJW41 .YD INSP MON RECORD .
2 .DO.
2 !! 1.00
D 115 1.5O
to 150 2.150
150 zOO 6.0O
misc.
NO.BIONS Nd.TRANS.
O.SIGNS NO MPS
FOR EACH PERMIT:
WlItING PERMIT 1.00
RIXTIJREP 9 R1JIT 1. O f[T�
SUPPLEMENTARY .150 d�MOVAIS
TAL
M E - DATE IHSPECTOQ SSIGNATURE
I HEREBY C1C�IOWLEPSE TyiAT I HAVE READ IE APP CATION CONDUIT
AND STATE THAT THE ABOn1I� la CORRECT A p AGREE YO COMPLY
KITH ALL COURTY'ORDINAliCP AND STATE LANE REGULATING WIRING
ELECTRI-GAL )EFRI-NG. . FUCTU
I HEREBY CERTIFY THAT I AY PROPPLY It"ISTPFn AND/OR
LICENSED AS REQUIRED BY-LOQ ANGELES COUNTY AND STATE OF POWILR
CALIFORNIA OR T}IAT 1 AY THE LEGAL 011 F OVB
DESCRIBED RESIDENT AL PR ER UTILITY CO.NOYIFIED
SIGNATURE
OF P[RMITTH6 FINAL —L
UNTY BKKR ZION 1SUrRVIfINa �Ll l N<I!!
GIC MO CASH
L
791 Z� MV 7 2 1 .55 In