HomeMy Public PortalAbout9581BISBY ST_Electrical (3) e
7*AA" °r ILA 7-i1 APPLICATION FOR PERMIT
DEPARTMENT OFNC� AND SAFETY ELECTRIC i
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENOINE[R
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMITr NO.
ELECTRICIAN A-I o�6�
[O[IVED By READY FOR DAT[ I"UED
[ADDR[IN FIRITINQPEOTION
CITY TEL NO S
DO NT'Y IO[NN[ NO. [XPIREG IV ■UILDINU �,O
PERMIT FEES ADDREON
FEE
NUMNER EACH LOOALFIY '
LIGHT OLr LiTN V NEARI NT
R[C[PTAOLEB D gown wr.
WALL OWIT13HIM OWNER
TOTAL OUTLtTB 6o MAIL
ELIC. RANGES QN ADDREBB
EL[O. HEATERS 25 CITY TiL NO.
FIXTURFA 16 5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MIRE. APPLICATION AND STAT[ THAT THE ABOVE to CORRECT
NUMBER OF LIGHT DIROUIT13 AND ACRE[ TD COMPLY WITH ALL COUNTY ORDINANCES
NUMMER OF RECEPTACLE CIRCUITS AND /TATE LAWN RE13ULATIM13 ELECTRICAL WIRINU.
MOTORS 1 C[RTIrY THAT I PDNBEM THE ABOVE VALID LOD
HUMMER HORMtPOW[RFE[ ANOELEN OOUNTY LIO[NNI, OR I AM THE L[OAL 01YNER
NKw Mw. HP ❑.'" IND. KAOH OF THE REIIDK7AL PERT/ DEDURIRED ABOVE.
1 • LUN .16
■INNATUR[ OF
f .50 r[RMITT
a s 11.00 INSPECTION RECORD
N 1■ 1.50
15* BO 1.50
50 ICC 5.GO
100 BDO 10.00 J
BOO 1000 16.00 Q
Z
O`VlOR 1000 10 00 0
M.O. ■ET FR CHANGER-HP
WELD[RN1A13-KVA C3
G[NERATORIO - KW
TRANOFORI.1[RI - KVA
TEMP. MOTOR■ X76 or oRla.
MOVED MOTORS 76 or amm.)
B1ONB
N0. NO.TRANS.
N 4 PN APPROVALS
FOR EACH r[RMIT1 DAT[ INNP[OTOR7 MAW[
WIRIN0 1.00 oQ CONDUIT
FIXTURES 1,00 WIRIN0 I C I ft d.
*WFq*LXMF,NTARY .149 F IXTU RIO
Q POWER
TOTAL FEE � UTILITY 00.NOTIFIED
FINAL s