HomeMy Public PortalAbout9638 BROADWAY_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PEMT
DEPARTMENT OF COUNTY ENGINEER ELECTRIC 1
DIVISION BUILDING 6 SAFETY
WII.LIAM I.. FOX, COUNTY ENGII1EHt
FOR AP LICANT TO FILL IN DISTRRICT NO. GROUP ZONE PERMIT NO.
g,6ELECTRICIAN/ `� 7 /
ADDRESS J R CEI READY FOR DATE' ISSUED
FIRST INSPECTION / —a;
COUNTY
CITY TEL. NOjgZ2
COUNTY LI ENSE NO. XPIRES BUILDING
S�'
PERM FEES
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CRO65S .
WALL SWITCHES OWNER
TOTAL OUTLETS Sc III _/_
MAIL f/
ELEC. RANGES 25 ADDRESS ,/
ELEC. HEATERS 25
CI TEL. N
FIXTURES 5
MISC. I HEREBVOFACKNOWLeDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS J AND STATE LAWS REGULATING ELECTRICAL WIRING,
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LIC SE, OR 1 AM THE LEGAL OWNER
New MVO. HP oven INc. V,cn OF THE RESIDENTI P TY DESCRIBED ABOVE.
2ol- 14
4z a Lasa $ .25 SIGNATURE Ix. `
Yz 2 .50• PERMITT
2 5 1.00 _ INSPE TION REC
5 15 1.50
15 50 2.50
50 200 5.00
200 500 10.00 J
500 1000 15.00 Q
Z
OVER 1000 20.00
M.G. SET/FRED. CHANGER-HP IL'
WELDERS: AC-KVA 0
GENERATORS -KW
TRANSFORMERS-KVA
TEMP. MOTORS (7S% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
M16C.
SIGNS
NO. NO. TRANS. 11PPROVALS.
NO. NO. LAMPS Lfi
FOR EACH PERMIT: DATE INSPECTOR'S
' INSPECTO
R'S NAME
WIRING $1.00 CONDUIT - A
$1.00 QWIRING 4 441. pA
FIXTURES
SUPPLEMENTARY .50 FIXTURES
/J ._ , POWER 1 .A
TOTAL FEE $ Y `� UTILITY CO. NOTIFIED 1
FINAL
76A 669 GBS# DA. 2.92