HomeMy Public PortalAbout5632 GRACEWOOD AVE_Electrical__ T \
.Aso Dae eA 7-51 APPLICATION FOR PEELW=
b�PAST� OOLDAND SAFETY ELECTRIC i
COUNTY OF LOS ANGELES
WILLIAMfU. FOX, CHIEF ENGINQR
FOR APPLICANT TO FILL IN D12TRICT NO. ORO P ZONE PERMIT NO.
ELECTRICIAN
RECEIVED WY READY FDR DA It 1 [D
ADDRESS 'f / FIRST IN�[CTION
CITY TEL. NO (y1Y!a
NUILDINIII
/
C U E N I RES
ADDRlr frLC Cr O O
PERMIT FEES
NUMBER EACH
�[ LOCALITY s
LIGHT OUTLETS NEAREST
R[0[PTAOLKS GROWS ST.
WALL RWITCH[r OWNER
TOTJI- -To rc MAIL
ELIC. N U as ADDRESS
ELEC. HEATIER8 as CITY TEL. NO.
FIXTURES S 1 HERESY ADKNOWL[DO[ THAT I HAVE READ THIS
mlia APPLICATION AND STAT[ THAT TH[ ASOVE 10 OCRRKOT
NUMBER OF LISHT OIROUITS AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES
HUMMER OF R[O[PTADL[ CIRCUITS AND STAT[ LAWS R[SULATING [LEDTRIOAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE AR13VE VALID LOS
NUMBER HORSEPOWERANMELES OQUMTY UCENS[., OR 1 AM THE LEGAL OWNER
FIC[
MEW Mw. H OVER IMO. [ADH OF THE RESIDENTIAL PROPERTY D[SORIS[D OVE.
VA a LEM .IIP ■ISNATUR[ OF
sD O
PERMI
3 5 1.00 INSPECTION RECORD
6 1S 1.50
16 f0 3.50
SO QOO r.00
300 am 1 O.CO J
500 1000 15.00 Q
Z
OVER 10m 20.00 0
Md. 111117T/FIRCHANGER-HP
WELD[RSIAD-KVA
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (76 aF oRIB.)
MOVED MOTORS (?r or oRIB.)
MI
SIGNS
NO. MO.TRANS. APPROVALS
N0.
FOR EACH P[RMIT1 INSP[OTDR'1 [
WIRING 1.00 d CONDUIT
FIXTURES 01.00 WIRINGly
60 FIXTURES
POWER
TOTAL FEE UTILITY CO.NOTIFIED
J FINAL