HomeMy Public PortalAbout9602 BROADWAY_Electrical__ APPLICATION FOR PERMIT .
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GRTOUP ZONE pERMITNO.
ELECTRICIAN
�i RECEIVED BY READY FOR DAT E1`SU ED
ADDRESS aZ SJ J IYt I FIRST INSPECTION 66
CITY _ TEL. NO. C�Z4i"�.v1 - 1- - 5
COUNTY LICENSE NO. EXPIRES p-� BUILDIG
PERMIT FEES ADDRESNS a�
7e
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST. QILC�(�I.J A
WALL SWITCHES OWNERLL. .
TOTAL OUTLETS Sc $ MAIL
ELEC. RANGES 2$ ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 D
i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS -Ir �J'— 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
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE I OF THE RESIDENTIAL ROPERTY DESCRIBED ABOVE.
NEW MVO. HP OVER INC EACH
Z '/z a LESS 1 $ .25 0 SIGNATURE OF
1/z 2 .50 PERMITTEE
z s 1.Do INSPECTION RECOR
S i 5 1,50
15 80 2.50
so 200 5.00 _ ' !
zoo soo o.00 �qop� On41.- Q
soo 1000 15.00 'V Z
OVER 1000 20.00 0
M. G. SET/FRED. CHANGER-HP t_ re
WELDERS: AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%°P ORIG.)
MOVED MOTORS (75%of ORIGJc;HD dip )
MISC.
SIGNS 90� /
NO. NO. TRANS. I APPROVALS `
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
CONDUIT
WIRING $1.00
FIXTURES $1.00 O Q WIRING
SUPPLEMENTARY .50 FIXTURES i
�}.� POWER
TOTAL FEE $- I75_ UTILITYCO. NOTIFIEDIGr /
0 FINAL