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76^663-CE805 1,/'° APPLICATION FOR ELECTRICAL 'PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITYNEARE
FOR APPLICANT TO FILL IN CROSSSST. ,✓�r °-�.�.:- (� _: ,
OUTLETS NO. EACH FEE
OWNER
/._ /✓����
RECEPT._ $ $ MAIL "
FIRST 20 m 4 ! ` ALIGHT TOTAL .25� ADDRE
CITY TEL. N0. XII
SWITCH OVER 20 10
PLAN CHECK '
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 10 ADDRESS
,
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER-WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESP 4
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. * DISHWASH. LICENSE NO. CLASS.
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC HP. KW KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 1001 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO �.
1 — 10 300 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY CL
10 - 50 500 SIGNATURE / f � O,
OF PERMITTEES
SO - 100 1000 DISTRICT NO. ICLASS ZON R ESSED Y Q
100 - 500 1500 0c) W
a
SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES: to
TUBE, OR ?
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER600 VOLTS OR 200AMP 300
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AM P 10.00
TEMP.POWER POLE
TEMRSERVI CE,POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 300
ROUGH CONDIUT ^� l�
WIRING .9 v'K 0tti�/
y d y I v-
FIXTURES cy// Y •
POWER AUTHORIZED ^ �n
PERMIT FEE � (SUB TOTAL)
PLAN CHECK FEE
UTILITY CO. NOTIFIED
FINAL
PERMIT ISSUING FEE 3.00
JOSEPH C. ROOHAN
TOTAL FEEcp-o SUPERVISINGIEL CAL ENGINEER.
PLAN CHECK VALIDATION CK. M 0 CASH PERMIT VALIDA� I N cK M 0 CASH
LAUo a /1 ..FEB 2 2 2 D 6.00- Q
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES -APPLICATION FOR'PERMIT
DEPARTMENT OF COUNTY"ENGINEER
DIVISION OF BUILDING & SAFETY ELECTRIC
,
WILLIAM J. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
11
ELECTRICIAN f�kr� 1 i! , .)' ! `-1 (1 V J
ADDRESS._0 j -7r�-�,y�ry�,/�c,`�. ql(T y� �+ RECEIVED BY READY FOR DATE ISSUED
CITY• i.�•MT YvI M I _I�Q�TEL. NO. i/'1 2�� � `FIRST INSPECTION
COUNTY LICENSE No. - EXPIRES _ BUILDING.
PERMIT FEES ADDRESS %,�}Q,Y.�:7 �vr�y.� _-�. A.
NUMBER EACH FEE LOCALITY �.-� r.++-�"'b, ~
LIGHT OUTLETS NEAREST- U41.
RECEPTACLFS' CROSS ST. _�Laj/FJjJ� .-Ia
WALL SWITCHES ay�� OWN
ER /f / L.o..e,QL6/J�• ! _/w�3'Y�
OUTLETSTOTAL
EL C. RANGES9 25 c $ '� ADDRESS ��9 YC / n
ELEC. HEATERS 25 "• ...y/J - gam'• ^� / �y
FIXTURES - - 5 - CITY /„e+.+�'�i� C ., !�;l TEL NO,
ACKNOWLEDGE :THAT 1 -HAVE READ THIS
M18C.' I HEREBY !'
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS
AND AGREE TO COMPLY WITH ALL 'COUNTY. ORDINANCES '
NUMBER-OF RECEPTACLE CIRCUIT AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 'POSSESS THE ABOVE VALID LOS
Nun1EeR HORSEPOWER FEE • _ ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENT IAL PROPERTY DESCRIBED
/ABOVE. /y/y
_ +/z a LESS $ 25 SIGNATURE OF
'/2 2 .50 PERMITTE `E 3/'� /v.le +++iiii7l'lllliifi 000 s�
z 5 1.00 NSPECTION RECORD
5 15 1.50
15 50 - ' 2.50 •• '
50 200 - 5.00 '
200 SOO 10.00 .J
500 , 1 1000 15.00 Q
Z
OVER 1000 20.00
M.G. BET/FREQ. CHANGER-HP -
WELDERS: AC-KVA - 0
GENERATORS •KW
TRANSFORMERS-KVA
TEMP. MOTORS. (75% OF ORIGO
MOVED MOTORS (75% OF ORIG.)
I MISC. - .• =
SIGNS
NO; NO. TRANS:
APPROVALS
NO. NO. LAMPS '
FOR EACH PERMIT. DATE INSPECTOR'S NAME
WIRING $1.00 d CONDUIT /
FIXTURES $1.00 '
"WIRING (D ZQ J X11( 1114
' I _
` SUPPLEMENTARY' .50 FIXTURES '
POWER _
TOTAL FEE $ l �� UTILITY CO. NOTIFIED
FINAL � .IIY�F.I,C1Fi�-
76A 668 DOS# SA..'4-82 - r' ' '
1 s.
76AG63 DSB SA 25M SETS 11-48 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
����
COUNTY OF LOS ANGELES
WILLIAM J. FDX, CHIEF ENGINEER
DISTRICT NO. GROUP ZONE PERMIT NO.
FOR APPLICANT TO FILL IN ' 3
ELECTRICIAN RECEIVE BY READY FOR DATE ISSUED
/ FIR TIN ECTION /
ADDRESS a GV � G•
CITY 4 TEL. NO. {7 `
BUILDING Il
LICENSE NO. EXPIRES B"'S b ADDRESS
DESCRIPTION OF WORK
FEES LOCALITY
FNMBER OUTLETS EACH
CROSS
LIGHTS Sc $ STREET
RECEPTACLES 5 �p
t FIXTURES 5 OWNER SV
WALL SWITCHES 5 MAIL
ADDRESS
ELEC. RANGES 25
ELEC. HEATERS 25 CITY TEL. NO.
I M19C. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER of CIRCUITS INSTALLED: ANGELES COUNTY LICENSE.
>A
LIGHTS RECEPTACLES
E.
MOTORS -
- ELECTRICIAN.
NUMBER HORSEPOWER FEE ,
NEW MVD. HP OVER , INC- EACH
1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
1/2 & LESS $ .25 ERTY DESCRIBED ABOVE.
%2 2 .50
2 5 1.00 OWNER.
5 is 1.50 INSPECTION RECORD
is so 2.50
50 200 5.00
1 200 Soo 10.001
500 1 000 1 5.00 J
Q
OVER 1000 20.00 Z
M.G. SET/FREQ. CHANGER-HP
Q'
WELDERS: AC-KVA
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIS.)
MOVED MOTORS (75% OF ORIS.)
M ISC.
SIGNS
TYPE: NO.TRANS.
TYPE: NO. LAMPS APPROVALS
PERMIT FEE DATE INSPECTOR'S NAME
FOR ISSUING PERMIT: CONDUIT
WITHOUT FIXTURES $1•'00 1 WIRING
WITH FIXTURES 1.25
FIXTURES
SUPPLEMENTARY .50
POWER
TOTAL FEE $ 1/v UTILITY CO. NOTIFIED
FINAL , s ��ry Iq