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76A663 DBS 5A It SO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
ELECTRICIAN Re Walton -5
RECEIVED BY READY FOR DATE ISSUED
ADDRESS lg&i 5134 Acacia Sts FIRST INSPECTION f�
CITY TEL NO /`'��" T u —.2- /
COUNTY LICENSE NO 104 EXPIRES ADDRESS 4
PERMIT FEES
838 Allssandro Ave,
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS 10 NEAREST
RECEPTACLES is
CROSS ST
WALL SWITCHES 18 OWNER Tilrn.pr Homes
TOTAL OUTLETS 46 5C $ 2, 3 QMAIL
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 CITY TEL NO
FIXTURES 10 1 g
1 HEREBY ACKNOWLEDGE THAT 1 HAVE�READ THIS
MISC
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE I ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
NEW MVD_l HP OVER INC EACH
1' I28L $ so 5 SIGNP
2
I/z 2 50ERMIT'TEE �f : �-.01
2 s 1 00 INSPECTION RECORD
5 IS I s0
15 50 2 50
50 200 5 00
200 goo f0 00 ..1
500 1 1000 Is 00 Q
Z
OVER 1000 20 00
M G SET/FREQ CHANGER HP
WELDERS AC KVA 0
GENERATORS KW
TRANSFORMERS KVA
TEMP MOTORS (75%OFORIG )
MOVED MOTORS (75%OFORIG )
MISC
SIGNS
NO NO TRANS I I APPROVALS
NO NO LAMPS
FOR EACH PERMIT DATE INSPECTOR S NAME
WIRING $1 00 CONDUIT
FIXTURES $1 00 1 00
WIRING �./ �rp- LZ' ►�
SUPPLEMENTARY 50 FIXTURES v
POWER
TOTAL FEE $ Gv 05 UTILITY CO NOTIFIED
® FINAL
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