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DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT OF LOS ANGELES ELECTRIC 1
WILLIAM IAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO PILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN 0 W 1>1 tie— v 2 -1.9 es
Y F
ADDRESD S t S s RECEIVED FIRST SPECTION DATE IfDU[D
CITY TEL NO.
No, KXPIFZKO-
PERMIT FEES ADDREBIi
FII
NUMBER EACH LOCALITY '�° �✓
LIGHT OUTurrt CNEARROP T Vd
RECEPTACLES
WALL SWITCHES _� OWNER - .
TOTAL OUTL pc s Co MAIL
dEC. RANGES ip ADDRtIii Q Y
ELEC. HEATERS .25 CITY /' T, O /
FIXTURESp
1 HERtn•Y ACKNOWLEDGI THAT 1 HAVE NXAD THIS
M OC. APPLICATION AND STATE THAT T14I AIOOVI IS CORRICT
NUMBER OF LIGHT CjfjCUfTs d=AND AaRR TO COMPLY WITH ALL COUNTY ORDINANCE/
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING El_EC'TRICAL WIRING.
MOTORS 1 CERTIFY THAT 1. POSSESS THE ABOVE VALID Los
Nu pgxpt HORS ICR FEE ANGtLli Es COUNTY LICINSIL OR I ATHU LEGAL OWNER
N[w MVDI Hr Dunt INC.
UCH OF THE RESIDENTIAL PROPERTY [SCRIBED ADOVE-
a LEAS .ip SIGNATURE OF
1 50 PERM1TTi
2 e1,00 INSPECTION RECO
D 15 1.50
16 -50 It.so
200 Is.00 -
200 aOO 10.00 J
aQo 1090 1a.00
OVER 100Q 20.00
M. a. orT/prRmg. CHANGER-HP
WELDERBi AC-KVA - O
GENERATORS-KW .
TRANSFORMERS-kVA
TEMP. MOTORS 75of OMG
MOVED MOTORS 75of oRla.
SKINS
NO. HO.TRANB. APPHOVAIS
DATE !NSP R'S
FOR EACH PERM T
CONDUIT - •
WIRING $1.010 y
WIRING
FIXTURE! 1.00
SUPPLEM RY h 80 FIXTURES
POWER
TOTAL FEE ifs ILITY CO. NOTIFIK a
r UUU FIN