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—79Ae67 De•HA 11-e0 APPLICATION FOR PERMIT
`DEPARTMENT OF BIIII.DING AND SAFETY ELECTRIC 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO..
r1 ELECTRICIAN S ?
ADDRt<BB 3 4 o EIVI D BY READY FOR DATE LSiUKD
FIRST INSPE)CTION
' CITY A-ll TEL NO.-SY-'(0(c-
UNTY L-ICFNtIlK NQ, I qXp I It gy 0 ■UILDING
PEBIVIlT FEES ADDRESS
FIR
NUMBR EACH LOCALITY
LIGHT OUTLETS NEAREST
2
RECEPTACLES CROSS ST.
WALL SWITCHRS OWNER
TOTAL OuTLirTp MAIL
ELEC. RANGES Y5 ADDRESS
ELEC. HF-AT12RS 25
FIXTURES CITY
Tm- O.
D
1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS
M 15C. APPLICATION AND STATE THAT THE ABOVE 16 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREL To COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS Z AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID Loi
Nu vets[ HORS ETOWER F¢E ANGELES COUNTY LICENSE, OR 1 AM THE LXGAL OWNER
Ntw MVD. HP ovtR ENG.
ucfi OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
a i LM •s5 IBIGNATURK OF
2 .50 PERM ITTEE
s 5 1.00 INSPECTION RECORD
8 15 1.50
15 50 2,50---
so
50Do 200 3,00
200 500 10.00 -1
SOO 1000 15.00
OVER 1000 20.00
M. G. SST FRIZ . CHANGER-HP R
WADERS: AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS 7 of oRlo.
MOVED MOTORS 75 OF ORia.
SIGNS
NO. NO. TRANS. APPROVALS
O
DATE INSPECTOR'S NAME
FOR ffACH PBRMITi
WIRIN 7,00
0 CONDUIT
i FIXTURES 1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
/ D POWER
TOTAL FEE ! I F UTILITYCO. NOTIFIED
FINAL
` 74. D. ILA a-io APPLICATION FOR PST
15EPAHTb0NT OFn�Ia AND SAFETY ELECTRIC i
couNCOUNTYofF LOS Loa ANGELsa
WILLIAM J. FOX, CHIEF EMDINQR
FOR APPLICANT TO FILL IN DISTRICT NO. DRO TANG PERMrr NO-
ELECTRICIAN G 'I^
READY FOR DA I ED
ADDRI� O /V rIRAT IMRF cMOM Z 2/ SL
o rry TEL M 4 +1 a`
DOUNTY LjprKn No. I v Kxplmm .? .11 ■UILDINO
PERBUT FESS ADDREAN
NUMBER IAOH FQ L MIALITY ,� r
LIUHT OUTLET. S N[AR1 rr
R[O EPTAD LEA ,S(] Ow Or ST.
WALL SWITOHO CrWNER
TOTAL OUTL[TB 147 'so 7S NAIL
ELIO. RANBES 96 ADDREAS
ELEO. HIATERS 16 OTY TEL N4
FIXTl]RES B i xS
I HEREAY ADKNOWLI DOE THAT I HAVIC RlAD THIS
APPL112ATION AND STATE THAT THE AAOVE IN OORREOT
NUMBER OF LIGHT OIROUITE S AND ABRE1 TO COMPLY tarn+ ALL OOUNTY ORDINAMDIS
NUMBER OF REOEPTADLE CIROUITB )O AHD KTAT11 LAWS RIDULATINO 1LtOTRIDAL WIRINDL
M OTD R9 1 OOtT I FY THAT I POSESS THE AS OVE VALID LDS
Numnmm HORAEPOWERANGELES TTHE W
COUNY LDEMW. OR 1 AM E LEDAL CN1R
FEE
N[w Mw. Hr ovu Iwo. ADH Or THE REAIDENTIAL PROP r1Y DESORISED MOVE.
a LQa .se I ■IONATURE orVill
i ALD r'1RM 1'T'T
a s 1.130 INSPECTION RECORD
e 1 s 1.e0
16 60 7.eO
-so 200 &GO
O =r",s:f- -pZP
BOO Boo 10.00
em loop 1&Do Z
OV®i 1 O 1400 C
MA. ■ET rR OHANaER-Hf• rz
WELDEfiAD-KVA / O
w
DENEwATORS - KW
TRANAFORMEwB - KVA
TEMP. MOTORS (76 or vR104
M oT'ORA 75or onluJ
MIeO.
HIDNE
No. NO.TAANL
N4 LAM APPROVALS
FOR EAOH PERMIT] DAT] IMBP[OTOR7 E
WIRINO *lJDO e e CONDUIT
rD(TURES 1.00 d d WIRINO T 2
DUPINLIEMKKTARY LFLXTUREE
3 6� POWER
TOTAL rFE UTILITY 04 NOTIrIED,
FINAL g
1