HomeMy Public PortalAbout10835 DAINES DR_Electrical__ COUNTY OF LOS ANGELES -' APPLICATION FOR PERMIT
' DEPARTMENT OF COUNTY ENGINEER- � -
A; DIVISION OF BUILDING 6 SAFETY ILVNJ
WILLIAM 1. FOIL COUNTY ENGINEER
FOR APPLICANT TO 'FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN R.UI ®� f?
ADDREB RECEIVE BY READY FOR OAT IBSU
_ q FIRST INSPECTION
CITY F�/LLI TEL.*NO./ V/�
COUNTY LICENSE NO. I EXPIR E6 "JOS)•) BUILDING /T^/
PERMIT FEES ADDRESSD-
NUMBER EACH FEE q /
LOCALITY �
LIGHT OUTLETSNEAREST
RECEPTACLES
OS
WALL SWITCHES - nn OWNER
TOTAL OUTLETS M
4 SC S .6
MAIL
ELEC. RANGES 25 S ADDRE59
ELEC. HEATERS 25
FIXTURES 5 CITY TEL. NO.
MISC. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF LIGHT CIRCUITS I APPLICATION AND STATE THAT THE ABOVE IS CORRECT ,
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 LOS
N HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
New MVO. HP Ove. INC.' I
CACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/p a Lees $ .25 SIGNATURE OF �p
1/2 2 .50 PERMITTEE /A
l
2 5 1.oo INSPECTION RECORD
5 15 1.50
15 50 2.50 •a-
50 200 5.00 /
200 500 . 10.00 J
500 1000 15.00 Q
Z
OVER 1000 20.00
M.G. SET/FRED. CHANGER-HP 0'
WELDERS: AC-KVA0
GENERATORS - KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. - NO. TRANS. APPROVALS
NO, NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING .$1:00 6O CONDUIT / I
//.'
FIXTURES $1.00 YJQ WIRING
SUPPLEMENTARY- - - ,50 FIXTURES
POWER
TOTAL FEE S 60 UTILITY CO. NOTIFIED
FINAL
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