HomeMy Public PortalAbout5614 CAMBURY AVE_Electrical__ 78ASS3 Das SA 5-49 ® .- (/^'"""� A APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. 'FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN \5 } / / // �3-3 /
1 RECEIVED BY READY FOR DATE ISSUED
ADDRESS 7 Qn .L-/A (j�1wz� .V_Q FIRST INSPECTION
CITYLIA_- - m .I TEL. NO. 2. / L '�
COUNTY LICENSE NO. d I EXPIRES - 0 SD BUILDING II 7
PERMIT FEES ADDRESS L
NUMBER OUTLETS EACH FEE LOCALITY [/ \1�•wJA/�Y. i �(�/(�
LIGHTS So $ e��
CROSS ST.
T✓L/V'C. �(,/ I/
RECEPTACLES 5 /IA �i
FIXTURES 5 D OWNER Ii/ �ilil.� 9CLyCJyl_;_�;_ .111A)'. (a
WALL SWITCHES 5 AIL
AOOREBB / Q.S6 l.Q.G-.lia_�//0'7aAA'Li .
ELEC. RANGES 25
ELEC. HEATERS 25
/� .�7 CITY A.�A� G•IA ot.Qa.ei TEL. NO.
/ MISC. I Qw.�O. • /N
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED:
APPLICATION AND STATE THAT TIE ABOVE 18 CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATII:G ELECTRICAL WIRING.
NUHUER HOR69POWER I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
FEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER I INC. EAC.
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
V..LESS $ .25
Vz I 2 .50 SIGNATURE OF L
2 5 1.00 PERMITTEE/^�'
s Is 1.50 INSPECTION RECORD . v
15 so 2.50
so 200 5.00 '
200soo 10.00
Soo 1000 15.00 'I
Q
OVER 1000 20.00 Z
M.G. SET/FRED. CHANGER-HP 0
WELDERS: AC-KVA r.Q
GENERATORS -
TRANSFORMERS
TEMP. MOTORS (75% of oRIG.)
MOVED MOTORS (75% OF ORM.)
MISC.
SIGNS_
TYPE: NO. TRANS.
TYPE: NO. LAMPS APPROVALS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 ' CONDUIT
'
FIXTURES 81.00 0 Q WIRING
SUPPLEMENTARY .50
FIXTURES
POWER
TOTAL FEE' g UTILITY CO. NOTIFIED W.?
FINAL //stili'/ �.��