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76ABB8 DBS SA 11-SO APPLICATION FOR PERMIT
DEPARTMENT OF SIIII.DIIITG AND SAFETY ELECTRIC
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COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOor R APPLICANT TO FILL IN DISTRI�C�T NO. GR ZONE PERMIT Tla.
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ELECTRICIAN. !'.�f ��,p�„
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ADDRESS/2(/ T Q 'AA01 ¢R syls RECEIVED BY READY FOR DATE ISSUED
/I FIRST INSPECTION
Lw CITY `1 ��51 'i LCmlv�v.TEL. U
NO.
1.
COUNTY LICENSE NO. ZA Ai EXPIRES dr—® BUILDING +
t PERMIT FEES
ADDRESS �J !'i JGAdIW
n
NUMBER EACH FEE LOCALI , �/I L 1
LIGHT OUTLETS NEAREST / f�
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNEF�P .,',ni�,F"1F�
TOTAL OUTLETS 5C S AIL 6'
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES 5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
j. MISC. APPLICATION AND STATE THAT THE ABOVE I8 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
!I MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWERANGELEB COUNTY LICENSE, OR SAM THE LEGAL OWNER
NEW MVD. HP OVER INC.
FFEE
CH OFTHE RESIDE L PROPERTY DESCRIBED AOVE.
I/2 A LEBB .25 SIGNATURE O9,
I/2 2 .50 PERMITTE "2 51.00 (/INSPECTION RECORD
5 is 1.50
18 50 2.50
50 2011 5.00 _
+ 2011 500 10.00 Q
7 5110 10110 15.00 Z
Ill OVER 1000 211.00 0
M.G. SET/FREQ. CHANGER-HP IY
WELDERS:AC-KVA O
L
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (73% Or oR:S.)
f MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
l� NO. NO. LAMPS
11 FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
I
FIXTURES $1.00 WIRING
J SUPPLEMENTARY .511 FIXTURES
I
PDWER �.
TOTAL FEE S r UTILITY CO.NOTIFIED
FINAL
i'
76A663 Des 9A 3-30 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFE � ��������
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLI13AYT TO FILL IN DISTRICT NO. GROUPZONE PERMIT No.
nn -5-- � -- ►44 4 3 -e
ELECTRICIAN tel./
D BY READY FOR DATE ISSUED
ADDRESS RECEIVE
/} pIFIRST INSPECTION
CITY �! 1 TEL NO. �.y r r 07�G
COUNTY LICENSE NO. A tT EXPIREB BUILDING
PERMIT FEES ADDRESS �J
FEE
NUMBER EACH LOCALITY /l/I/F,6 In
LIGHT OUTLETS NEAREST
T
RECEPTACLES CROBB
WALL SWITCHES 9APPLICATION
OWNER/';f,�'11/Ps�1 A ./TOTAL 'OUTLETS 5C MAIL ' fELEC. RANGER 85ADDRESSELEC. HEATERS z5 CITY TEL NO.
FIXTURES ,µµ� 5i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. � M7t�d.l AND STATE THAT THE ABOVE IB CORRECT
NUMBER OF CIGHT CIRCtJ T9 6 D AND AGREE TO COMPLY WIT14 ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
NUM6ER HCRBEPCWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEw. MvD. HP OVER I INC. EACH OF THE REBIDEN L PROPERTY DESCRIBED ABOVE-
% a LEe9 $ .85 SIGNATURE OF �B
I a 2 .50 PERMITTE I -A ,1
-A
2 B 1.00 L*SPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
'21313 Soo 10.013 A
500 1000 15.00 Z
OVER 1000 80.00 O
M.G. BET/FREQ. CHANGER-HP
WELDERS.AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% ar DRIG.)
MOVED MOTORS (75% or CRIB.)
MISC. TI :::]
SIGNS
NO. NO.TRANS.
APPROVALS •
No. NO.LAMPS
FOR EACH PERMIT. DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT >'
FIXTURES $1.00 WIRING
BUPPLEM ENTARY .50 FIXTURES
POWER
TOTAL FEE $�6 UTILITY CO.NOTIFIED
v FINAL