HomeMy Public PortalAbout9582BISBY ST_Electrical (4) COUW Y OF LOG ANSELn APPUCA7WN FOR PERIM
DspLrtm'nt F B ELECTRIC 1
DIVISION OF BIIII..DINC� & SAFETY
WILLIAM J. FOX, County Ensinew
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZDNE PERMIT NO.
ELECTRICIAN _T
ADDRESS REI:IEIVXD READY FOR DAT[ IMUED
FIRITINf![DTION
CITY TTA_ No.
O NTY LIOENS[ NO. EXPIRE■ ■UI=
PERIM FEES ADD
FiC[
NUMBER EACH LOOALfTY
LISHT OLIlli17 NKAl![!T F
RECEPTADL[N 1211110"wr.
WALL SWITDHEf OWNER
TDTAL OUTLiTf Bo MAIL
[LIQ RANI3EN as ADDRQf
ELEQ H[ATXRW ME OITY F TTL_ Na v�V.10
.FIXTLIR[S B I HERESY AOKNOWLEDDE THAT 1 HAVE READ TH19
MIND. APPLICATION AND STATE THAT THE AIOV[ If OORR[OT
NUMOER OF LIGHT CIRCUITS AND AGRI[ TD COMPLY Vfr H ALL COUNTY ORDINANCE■
NUMBER OF RED[PTACLIE CIRCUITS AND IFTATI LAWS RVOULATINO [LIOTRICAL WIRING.
MOTaRI! 1 CERTIFY THAT 1 1•CSSLy THE ABOVE VALID LOW
Numown HORSIPQWik FilE ANCE1Ud C0IJNTY LIOENSI. OR I AM THI LEMALL OWM[R
HEW MVD. HP OVER IMM EAM1 OF TH[ RESIDENTIAL PROPERTY DESCRIBED AROVL
Vill a Loa .ss
■IMNA MTRTQ
YA f .11O
2. f 1.00 ENSPECPION RECORD
a 16 1.1113
is so 2.50
BO 200 B.DO
ZOO NO 10 10.00 J
500 1000 1 ILDO <
Z
OVER 1OCIO JWLOO 0
M.C. fiT FR CHANCIER-HP
WELDERNI AD-KVA D
DEHERATORS - KW
TRANUFORMERN - KVA
TEMP. MOTORS (75of anis.
MOVED MOTOR■ (711 or aR101
BIONS
NO. N O.TRAMS. APPROVALS
N U. NrL
FOR EACH PERMITI DATE INSREOTOR'f NAME
WIRIND 1.013 d CONDUIT 1
FIXTURES - 1.00 WIRIND
s F IXTU RIS
_ PCW[R
TOTAL FEE A / �.�JI UTILITY Ca NOTIFIED �
FINAL
MUM DJ18#6A 4-61