HomeMy Public PortalAbout5023 GLICKMAN AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer ��������
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP 1 ZONE PERMIT NO.
_ELECTRICIAN (-k
'- RECEIVED BY READY FOR DATE IssUED
ADDRESS .1 FIRST INSPECTION
CITY TEL. NO.
COUNTY LICENSE NO. EXPIRES 41 3O BUILDING
ADDRESS L!_
PERMIT FEES �� C
' NUMBER EACH FEE LOCALITY
_LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES �C OWNER _
TOTAL OUTLETS _ Sc T MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES HE— 5 —ii
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS
MISC. 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 1 CERTIFY THAT I POSSESS THE ANOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVO. HP OVER jNC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
'/2 d LESS $ .25SIMNATIURK OF
'.
��2 2 .50 PERMITT
2 s 1.430 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 _ 500 10.130 J
_ 500 1000 15.00 a
-- Z
OVER 1000 20.00
M.G. SET/FRED. CHANGER-HP IY
WELDERS: AC-KVA 0
GENERATORS - KW _
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF aRIB.) _
MOVED MOTORS (75% OF ORIG.) _
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS -
FOR EACH PERMIT: DA INSPECTOR'S NAME_
WIRING $1.00 CONDUIT _
FIXTURES $1,00 �- WIRING ! a-
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE �! UTILITY CO.NOTIFIED
FINAL !'?• A.�,�
76A663 DBS$5A 4-52