HomeMy Public PortalAbout5005 GLICKMAN AVE_Electrical__ 76A663 DBS SA 11-49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR P I NT TO FI DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADDRESS aftw%-- FIRST INSPECTION ,
CITY TEL. No-"�WA 10
COUNTY LICENSE NO. EXPIR tle UILDING D
PERMIT 17tEb
ADDRESS
FEE LOCALITY
NUMB OUTLETS EACH
LIGHT Sc $ NEAREST
CROSS ST.
RECEPTACLES 5
FIXTURES s OWNER
WALL SWITCHES 5 MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
MBC. i HEREBY ACKNOWLEDGE THAT I HAVEREAD THIS
NUMBER OF CIRCUITS ED:
IOTA APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWER I CERTIF/THAT, POSSESS THE ABOVE VA LOSFEENEW MVD. HP OVER INC. EACH ANGELES COENSE, I AM THE LEO NEROF THE RESROPE RIB1/2 & LESS $ .25
1/2 2 .50 SIGNATURE
2 S 1.00 PERMITT
5 15 1.50 INSPECTION RECORD
15 50 2.50
50 200 5.00
200 500 10.00
500 1000 15.00 JQ
OVER 1000 20.00 Z
M.G. SET/FREQ. CHANGER-HP CI
WELDERS:AC-KVA R�
GENERATORS - KW 0
TRANSFORMERS - KVA
TEMP. MOTORS (75% Or ORIO.)
MOVED MOTORS (75% Or ORIG.)
MISC.
SIGNS
TYPE: NO.TRANS.
TYPE: NO. LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRJNG $1.00 CONDUIT
FIXTURES $1.00 WIRING -z-
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE 41' UTILITY CO.NOTIFIED -/ •/ "' .f%" » - e/
FINAL -