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76A663 DBS 6A 11 60 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
• - COUNTY OF LOS ANGELES �� 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
ELECTRICIAN F' Nla tori I "�f1
READY FOR
ADDRESS 5134 N.
Acacia Sto RECEIVED BY FIRST INSPECTION DATE ISSUED
CITY Sari Gabe TEL NO 1104 —/7— /
COUNTY LICENSE NO 1104 EXPIRES BUILDING 4851 Alessandro Ave.
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY Temple Cit
LIGHT OUTLETS 10 NEAREST
RECEPTACLES 18
CROSS ST
WALL SWITCHES 18 OWNER Turner Homes
TOTAL OUTLETS 46 Sc $ 2 1130 MAIL
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 CITY TEL NO
FIXTURES 10S 0 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 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBHORSEPOWER FEE ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
ER
NEW MVD HP OVER INc
EACH OF THE RESIDENTIAL PROPE DESCRIBED ABOVE.
1 1 4 1/2 13 LESS $ 25 25 SIGNATURE OF
1/2 2 50 PERMITTEE
z 5 1 00 INSPECTION RECORD
5 1S 1 50
15 50 2 50
50 200 5 00
200 Soo 10 00 „J
Soo 1000 15 00 Q
Z_
OVER 1000 20 00 0
M G SET/FREQ CHANGER HP O
WELDERS AC KVA
GENERATORS KW
TRANSFORMERS KVA
TEMP MOTORS (7S%OFORIG )
MOVED MOTORS (75%OFORIG )
MISC
SIGNS
NO NO TRANS I APPROVALS
NO NO 1-AMPS
FOR EACH PERMIT DATE INSPECTOR S NAME
CONDUIT
WIRING $1 00 1 00
FIXTURES $1 00 0 WIRING
SUPPLEMENTARY 50 FIXTURES v
5105 POWER
TOTAL FEE $ UTILITY CO NOTIFIED /a�F� r 4 � r✓ c�I
FINAL
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