HomeMy Public PortalAbout10927 DAINES DR_Electrical__ 76pS63 " 5O APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �� �����
` COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICSeVO. ;iii
NE .PERMIT NO.
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ELECTRICIAN' B_ J( 'h 1 isQO�
ADDRESS � 1y,�`,`p^ 1Q11 ♦� RECEIVED BY x%'k/A�k� I1� p/ ViTEL. NO. 'yTp
COUNTY LICENSE NO. Y' 1 11 .IL] EXPIRES b-;3b RB BUILDING 'O -
PERMIT FEES ADDRESS
NUMBER I EACH FEE LOCALITY `ply \��p`�� ♦ /�1
LIGHT OUTLETS CROSS ST.NEAREST �.( , Y p 1
RECEPTACLES ���{��'}J♦ \^`-
WALLSWITCHESjt2
OWNER��y�y1�\ . IAL.4'Tlrl l YR'A1Iik�TOTAL OUTLETS ' AMDDRESS`9 LYELEC. RANGES ELEC. HEATERS CITY ,�� TEL. NOFIXTURES
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMRERL HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE
NEW MVD. HP VER INC. EACH
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
O
'A a LESS $ .25 SIGNATURE OF 1✓/�) 1
2 .50 PERMITTEEI
2 5 1.oo INSPECTION RECORD
5
15 50 2.50
50 200 5.00
200 Soo 10.00 J
d
soa 1000 15.00 Z
OVER 1000 20.00
M. G. SET/FRED. CHANGER-HP
WELDERS: AC-KVA
GENERATORS-.KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OFORIG.)
MOVED MOTORS (75%OF
MISC.
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT:
DATE INSPECTOR'S NAME
q /
WIRING $100 �Il CONDUIT
RS p WIRING
.
FIXTURES S1 00 fJ A
SUPPLEMENTARY 50 FIXTURES ^
POWER /
TOTAL FEE - $4:�f-IJTILITY CO. NOTIFIED
O FINAL l L
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