HomeMy Public PortalAbout9628 1/2 BROADWAY_Electrical__ COUNTY OF LDS ANGELES APPLICATION FOR PERMIT
Dof County Engineer ELECTRIC
DIVISIONSION OFF BUILDING & SAFETY
WILLIAM J. FDX, County EnRlneet
FOR APPLICANT TO FILL IN DISTRICT NO. OROLJP ZONE PERMIT NO.
ELECTRICIAN 7__1 'oK(S t [�. FdC ^7�-�/
RECEIVED BY READY FOR DATE ISSUED
ADDRESS RAInwI41 PARK, WHFI /� FIRST INSPECTION
CITY FL 7.506' '1LENO.
COUNTY LICENSE NO. EXPIRES s BUILDING (//
PERMIT FEES ADDRESS C
NUM FEE ER EACH LOCALITY
LIGHT OUTLETS ly NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES OWNER
TOTAL OUTLETS Sc ® / MAIL
ELEC. RANGES 25 —Y— ADDRESS
ELEC. HEATERS 25 CIT. TEL NO.
FIXTURES S
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MIBC, p / APPLICATION AND STATE THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS / 0 3 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 LOB
NUMBER No
FEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
NEw MVR. HP ovo IHC. EACH OF THE RESIDE NTI OPERTY DEBPRISED AS VE.
I/2 s LESS S .25 SIGNATURE O
I/2 2 .50 PERMI
a s 1.0o INSPECTION RECORD
s Is 1.50 _
_ rs so 2.50
sD zaD 5.00
201, SD1 10.00 -1
so0 1000 15.00 z
OVER 1000 20.00 �
MCVED_MC'TORS (75% Cr BRIB.) �
M.O. BET/FRED. CHANGER-HP O
WELDERS: AC-KVA
GENERATORB - KW
TRANBFORMERB - KVA
MISC. -
SIGNS
NO. NO.TRANS.
APPROVALS
NO. No. AMPS
L
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
eFIXTU REB $1.00 iy�� WIRING ��S}' �/ _ w✓
ISUPPLEMENTARY .50 FIXTURES
POWER 6
TOTAL FEE UTILITY Co.NOTIFIED
FINAL
964663 -BS#5. Cd 6 12-53 J /