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76A663 DBS SA 11 50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES CT I
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
ELECTRICIAN R. F. Walton `� 1 933'
READY FOR
ADDRESS 5134 N.
Acacia St. RECEIVED BY FIRST NSP EC DATE ISSUED
CITY San Gab. TEL NO AT 68583 -11-,j V
COUNTY LICENSE NO 1104 EXPIRES BUILDING
PERMIT FEES ADDRESS 5036 Alessandro Ave.
NUMBER EACH FEE LOCALITY Temple Celt
LIGHT OUTLETS 10 NEAREST
RECEPTACLES 18 CROSS ST
WALL SWITCHES 18 OWNER Turner Homes
TOTAL OUTLETS 46 5c $ 2 30 MAIL 1
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25
FIXTURES 10 s 50 CITY TEL NO
I 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 HORSEPOWER� FEEANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
I
Nur.1BER HORSEPOWER FEE
NEW MVD HP OVER INC
EACH THE RESIDENTIAL PROPE TY DESCRIBED ABOVE
1/2 a LESS $ 25 25 SIGNATURE OF
1/2 2 5o PERMITTEE
2 5 100 INSPECTION RECORD
5 1s 1 so
15 50 2 50
50 200 S 00
200 50o to 00 ,J
Soo 1000 1s 00 Z
OVER 1000 20 00 (�
M G SET/FREQ CHANGER HP
WELDERS AC KVA
GENERATORS KW
TRANSFORMERS KVA
TEMP MOTORS (75%OFORIG )
MOVED MOTORS (75%OF ORIG )
MISC
SIGNS
NO NO TRANS APPROVALS
NO NO LAMPS
DATE INSPECTOR S NAME
FOR EACH PERMIT
WIRING $1 00 00 CONDUIT
FIXTURES $1 00 WIRING �/f /.7
SUPPLEMENTARY 50 I FIXTURES
5 05 POWER
TOTAL FEE $ UTILITY CO NOTIFIED w ♦ ier0/
® FINAL �'�QII JY