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•76A663 DBS SA 11-50 APPLICATION FOR PERMIT
,. DEPARTMENT OF BUILDING AND .SAFETY
,. COUNTY OF LOS ANGELES ELECTRIC 1
1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIC NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN R. F. Walton /7 " ,3,- B/
RECEIVED BY READY FOR DATE ISSUED
ADDRESS 5134 N®
Acacia St. FIRST INSPECTION �
CITY San Gab, TEL. NO.
,�-' ®7 51
COUNTY LICENSE NO. EXPIRES ADDREIN 5043 Alessandro Ave,
PERMIT FEES
NUMBER EACH FEE LOCALITY Temple Cit
LIGHT OUTLETS 10 NEAREST
ROSS ST.
RECEPTACLES C
18 '
WALL SWITCHES 18 OWNER Turner homes
TOTAL OUTLETS 46 5C $ 2 130 MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 10 5 50
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 I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE
NEW MVD. HP OVER INC. EACH
OF THE RESIDENTIAL PROPERT( DESCRIBED ABOVE.
I
1/2&LESS $ .25 25 SIGNATURE OF
1/2 2 50 PERMITTE
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 Soo 10.00 J
500 1000 15.00 Q
1 z
OVER 1000 20.00 0
M. G. SET/FREQ. CHANGER-HP O
WELDERS: AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA �-
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT: -
CONDUIT
WIRING $1.00 1 11 00 s
------III111
WIRING A.:�J .Q.�-,�._..-.. ire!
FIXTURES _ $1.00 1 00 -i
SUPPLEMENTARY .50 FIXTURES
5 05 POWER n LY"
TOTAL FEE - $ UTILITY CO. NOTIFIED1. / ('
10 FINAL -If