HomeMy Public PortalAbout9953 GARIBALDI AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER ELECTRIC �
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN � j)- C. ��
ADDRESS - .r� • ° �" '`i.• � '$: RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
CITY _ TEL. NO.
COUNTY LICENSE NO. EXPIRES - BUILDING
PET F.EE.S' ADDRESS
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST,
WALL SWITCHESOWNER
TOTAL OUTLETS 5C $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
CITY TEL. NO.
FIXTURES 5
MISC. I HEREBY ACKNOWLEDGE THAT I 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 CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
_NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
1/2&LESS $ .25 _
SIGNATURE OF
I/2 2 .50 PERMITTEE
z 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 500 10.00 J
500 1000 15.00 Q
Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP it
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO. LAMPS APPROVALS
Lam+
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00. CONDUIT
r
J FIXTURES $1.00 - WIRING
} SUPPLEMENTARY .50 FIXTURES
/ 4 POWER
TOTAL FEE S /jIt UTILITY CO. NOTIFIED
j FINAL
1
76A663 OBS4 SA. 4-52
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