HomeMy Public PortalAbout9626 GIDLEY ST_Electrical__ 76A663 DBS SA It 50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN .'
RE C IVED BY READY FOR DATE ISSUED
ADDRESS '- - FIRST INSPECTION
CITY TEL. NO.
COUNTY LICENSE NO. EXPIRES BUILDING
PERMITIFEEt ADDRESS L
FEE J,
(NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES F _ OWNER
TOTAL OUTLETS '. �^ 5c $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
CITY TEL. NO.
FIXTURES 5 '
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MtSC.
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 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE
NEW MVD. HP OVER INC. ACH
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
E
1/2 &LESS $ .25 SIGNATURE OF
1/2 2 50 PERMITTEE
2 5 1.oo INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 500 10.00 ..I
500 1000 15.00 Q
Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA 0
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 I CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE $ UTILITY CO. NOTIFIED(
® FINAL