HomeMy Public PortalAbout10115 BOGUE ST_Electrical__ 76A663 DSS 5A 3-50 r APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING ANDSAFETY!
COUNTY OF LOS ANGELES C' 1
WILLIAM J. FOX, CHIEF ENGINEER ELEmlArm
F❑ APPLICANT TO FILL IN DISTRICT'NO. GROUP �ZONE �rPERMIT NO.
/
ELECTRICIA A,
ADDRESS SL dA RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
CITY _ TEL NO.
COUNTY L CENSE NO. oOo',6 6O X EXPIRES ADDRESH
PERMIT FEES
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST V
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS 5D S MAIL U
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS - 25 - S CITY TEL. NO.
FIXTURES 5 A ,6 .
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS ! AND AGREE TO COMPLY WITH ALL COUNTY 13RDJNANCEB
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER '
ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
NEW MVD. HP OVER INC. EACH
I/2 S LESS $ .25 SIGNATURE OF / Y
%2 2 .50 PERMITTEE
2 5 1.00 (INSPECTION RECORD'
s 1s 1.50--
is
.50is so 2.50
50 200 5.00
200 500 10.00 'J
500 1000 15.00 - z
OVER 1000 20.00 ('
M.G. SET/FRED. CHANGER-HP _ (C
WELDERS:AC-KVA 0
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG-)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS
APPROVALS
NO. NO. LAMPS _
FOR EACH PERMIT: DATE
INSPECTOR'S NAME
WIRING $1.00 CONDUIT /,/ _
FIXTURES $1.00 Q WIRING Gam" r0 --v
i
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $� UTILITY CO.NOTIFIED ♦ �f'Y f
FINAL