HomeMy Public PortalAbout5424 CAMBURY AVE_Electrical__ 76A663 DBS SA 3-50 APPLICATION FOR PERMIT
I. DEPARTMENT OF BUILDING AND SAFETY,
COUNTY OF LOS ANGELES
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WILLIAM J. FOX, CHIEF ENGINEER
1 FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN 7=
RECEIVED BY READY FOR DATE IBBBBIIy ED
ADDRESS'. _ t _ ✓_ / FI RBT INSPECTION
CITY m. NO. — 9 I
COUNTY LICENSE NO. /,,IL EXPIRES 1 ' 9UILDING /D
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
CROBB BT. OA
RECEPTACLES
WALL SWITCHES OWNER(?f 1
TOTAL OUTLETS SO 70 MAIL
ELEC. RANGER 25 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES 6
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIN
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS L / I 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
Nurna ER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
NEW MVO. HP OVER INC. EACH ���{y./� ,J�
A LESS 10 .25 SIGNATURE OF V/` %✓
I/z 2 .SO PERMITTEE /`� I N� I -
2 s 1.00 INSPECTION RECORD-
S is 1.50
Is so 2.50
so 200 5.00
200 BOO 10.00 J
a
SOD lovv ts.av Z
OVER Ivoo zD.Do p
M.G. SET/FRED. CHANGER-HP _ R
WELDERS: AC-KVA •�� O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF DRI..)
MOVED MOTORS (75% OF DRI..)
MISC.
SIGNS
NG. NO.TRAN8. APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 Q U CONDUIT
FIXTURES $1.00 U U WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE UTILITY CO.NOTIFIED
FINAL i