HomeMy Public PortalAbout9640 BROADWAY_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMT
DEPARTMENT OF COUNTY ENGINEER ELECTRIC 1
DIVISION SAFETY
WILLIAM
AM 1.. FOX COUNTY ENGIIQEEEFtt
FOR APLICANT.70 FILL IN - DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN
ADDRESSRECEI ED BV READY FOR DATE ISSUED
FIRST INSPECTION / /0
CITY TEL. NO.
COUNTY LICE SE NO. / EXPIRES BUILDING 7
PERMIT FEES ADDRESS ' /
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES ROSS T.
1
WALL SWITCHES OWNER
TOTAL OUTLETS Sc -
MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
CI TEL. N061
FIXTU RES 8
MISC. 1 %<EREifY ACKNOVADGE THAT 1 HAVE READ THIS
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT
a. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBEROF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUNeR
R ' HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVO. HP OVEa IN<. I EAc11 OF THE RESIDENTIAL P OPERTYA DEB IBE ABOVE.
1/2'&L SS 5
.25
SIGNATURE OF
Vs 2 .50 PERMITTE
2 5 1.00 INSPECTIO& REC
5 15 1.50
15 50 2.50
SO 200 5.00
200 500 10.00 J
500 1 1000 15.00 Q
OVER1000 20-00 Z
M.G. SET/FRED. CHANGER-HP C'
WELDERS: AC-KVA 0
GENERATORS -KW
TRANSFORMERS-"A
TEMP. MOTORS (75% of GRIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. I APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING 81.00 CONDUIT /
FIXTURES 81.00 ) WIRING IL $ •-��
SUPPLEMENTARY .60 FIXTURES \
POWER
TOTAL FEE 8� V UTILITY CO. NOTIFIED 1 S /'
FINAL A N L
ISA 863 GRG# DA, A-59