HomeMy Public PortalAbout9559 BROADWAY_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY ELEC7R0C"p"
WILLIAM J. FOX. County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. I GROLJP ZONE PERIAIT NO.
ELECTRICIAN OV
-- RECEIVED READY FOR DATE IS ED
ADDRESS �J .J/,p FIRST INSPECTION _
CITY TEL N0. LU
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COUNTY LICENSE NO. 3 L EXPIRES BUILDING (ys��j [". '-/Z rtYG�-rC.A
PERMIT FEES AGGRESS (( // C �J�
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NUMBER EACH EEE LOCALITY / l�
LIGHT OUTLETS NEAREST `J I /�' _
CROSS 9T. / 1
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS L 5D
6 $� S MAIL
ELEC. RANGES �7— 25 ADDRESS
ELEC. HEATERS ! 25
CITY TEL NO.
FIXTURES
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MIBC. 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
NUN.[R HORSEPOWER FEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
NEW MVO. HP OVER IHe. EACH OF THE RESIDENTIAL PROPER DE6 RIBED ABOVE.
LE.. $ .25 SIGNATURE OF
_ I/2 2 .50 PERMITTEE.
z 5 1.00 INSPECTION RECORD
5 is 1.50
is s0 2.50 _
_ 50 200 5.00 _
200 500 10.00 J
500 1000 15.00 a
Z
—_ — OVER 1000 20.00 [IJ
M.O. SET/FRED. CHANGER-HP 0:
WELDERS: AC-KVA O
GENERATORS - KW _
TRANSFORMERS - KVA
TEMP. MOTORS (75% Cr Okla.) -
MOVED MOTORS (75% OF ORIO.)
MISC.
SIGNS
N0. NO.TRAN9. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INEPEC ORIS NAME
WIRING $1,00 U O CONDUIT
Al
FIXTURES --- $1.00 U U WIRING z '2 r-/ x!-./../%-114,4 ..
SUPPLEMENTARY .50 i FIXTURES
POWER
TOTAL FEE $ v UTILITY CO. NOTIFIED
FINAL 4,)-1 SJ
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