HomeMy Public PortalAbout5321 CAMELLIA AVE_Electrical__ ,Z .•.eca'D"KA 11-50 APPLICATION FOR PERMIT
DEPftHTMENT OF BUILDING AND SAFETY ELECTRIC 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT O. GROUP ZONE PERMIT NO.
ELECTRIC�XLINT T
Illu
RECEIVED INY READY FOR DATE ISSU
ADDREMS 1 FIRST INSPECTION
CITY BALDWI VV I 10
Jf
COU 0 ]BUILDING
PERbdT FEES ADDRESS
FEE
u e LocALITY
LIGHT OUTLETS NEAR[ST
CROSS ST.
RECEPTACLES
WALL GWITCHKO OWNER
TOTAL OuTLXTg ac I MAIL
ELXC. RANGES !a ADDRESS
ELIC. HEATERS as CITY O .
FIXTURES a Q
_ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THI■
M
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMeot OF LIGHT CjgCUjTv AND AGREE To COMPLY WITH ALL COUNTY ORDINANCES
NUMSER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POOSKS THE A bOVE VALID LOS
Nunn Q[ HORS WIE2 FEE U
ANG12" COUNTY LICENSE. OR 1 AM THE L rnAL OWXJLR
NM MVD. HP ovra INC
¢,BCH OF THE RESIDENTIAL PROPERTY DESCRIEDL ApOV/L-A'.
• .!a SIGNATURE OF
2 150 rim
! a 1.0Q INSPECTION RECORD
a to 7,50
D a0 1,150
50 20Q 5.00--
20-Q
.Ooa 500 7Q.00 J
5QO 1000 15.00 `�,
OVER 1000 a 0 M. G. SET FR . CHANGER-HP a
WYLDKRBt AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS 76 OF oiva.
MOVED MOTORS 715or Oaio.
SIGNS
NO. NO. TRANS. APPROVALS
DATE INS CTO AM
FOR EACH PERMIT
b CONDUIT
WIRING *1.60
FIXTURES *1.00
SUPPLE.M ARY .50 FIXT ES
POWER
TOTAL FEE s UTILITY co. Nor Ft®
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