HomeMy Public PortalAbout10614 FAIRHALL ST_Electrical__ COUNTY OF LOS ANGELES . - APPLICATION FOR PERM
DEPARTMENT OF COUNTY ENGINEER ELECTRIC
�! DIVISION OF BUILDING & SAFETY -
WILLIAM . FO%, COUNTY-ENGINEER
FOR/ P ANT ILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIA
ADDRESS RECEIVED BY READY FOR DATE ISSUED
^� FIRST INSPECTION
CITY TE NO.
COUNTY LICENSE NO. E PIRES •� ,�� BUILDING
MOM F •�.�.•S ADDRESS r
FEE
NUMB R EACH LOCALITY
LIGHT' OUTLETS I
1J NEAREST
RECEPTACLES - OSS T.
WALL SWITCHES I
OWNER
TOTAL OUTLETS •' _ 5c $ 7 - '
- MAIL
ELEC. 'RANGES 25 ADDRESS l '
ELEC.HEATERS25 ,
T`— — -- CITY / TEL. NO.
FIXTUREST
MISC: I HEREBY ACKNOWLEDG -THAT`-1--HAVE='READ--THIS —�-
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE-THAT 'THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUIT AND STATE LAWS REGULATING ELECTRICAL WIRING.•
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LIC SE, OR 1 / THE LEGAL OWNER
NEW MVD. OVER INC. EACH. OF THE RESIDENTIAL P TY DE CRIBE ABO E
t
LESS ffi .25
SIGNATURE OF
1/2 2 .50 PERMITTEE
2 5' 1.00 INSPECTION RECORD
5 15 1.so
15• 50 2.50 -
50 200" 5.00
200 '500 10.00 J
500 1000 15.0o Q
Z
OVER 1000 20.00 -
M.G. SET/FREQ. CHANGER-HP -
WELDERS: AC-KVA - .O
GENERATORS -KW
TRANSFORMERS-KVA -
TEMP. MOTORS (75% OF ORIG.) '
MOVED MOTORS (75%.OF ORIG.)
MISC. - -
SIGNS
NO.. NO. TRANS. i
APPROVALS
OVALS•
NO. NO. LAM
FOR EACH PERMIT: DATE INSPEOTOR'S NAME
WIRING .$1.00 CONDUIT /f
FIXTURES - $1.00 WIRING
'SUPPLEMENTARY .SO -FIXTURES � Y Lail/
_ POWER /1�"9 n I
TOTAL FEE ,$ UTILITY CO. NOTIFIED W/
w
OINAL
75A 663 DBS# 5A. 4-52