HomeMy Public PortalAbout10957 GRAND AVE_Electrical__ 76A6t'3 DBS SA 7-51 APPLICATION FOR PERMIT -
DEPARTMENT OF BUILDING AND SAFETY
_ COUNTY OF LOS ANGELES ELECTRIC I
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN — A-t 9`)_cy .b
--- RE EIVED BY READY FOR DATE ISSUED
ADD EBB FIRST INSPECTION
_CITY TEL. NO. '� I — J`�
S
COUNTY LICENSE NO. !'EXPIRES . BUILDIN ,f/
PERMIT FEES 6: ADDRESS
FEE
NUMBER EACH LOCALITY _ cp t7
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS Sc $ �J MAIL
ELEC. RANGES 25 mss_ ADDRESS___ _
_ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES
Lk7_
B i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 19 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 HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/2 s LESS $ .25 SIGNATURE OF { •,1 �^^ j-- •°
/z 2 .50 PERMITTEE—L-- _ - "`
2 S 1.00 _ INSPECTION RECORD
5 16 1.50
15 50 2.50
_ 50 200 5.00
200 600 10.00 J
_ 500 1000 15.00 a
Z
OVER 1000 20.00
C7
M.G. SET/FREQ. CHANGER-HP R'
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
DATE INBP TORS NAME
FOR EACH PERMIT:
WIRING _-- $1.00 CONDUIT�_
FIXTURES $1.00 / '�} WIRING
-T f
SUPPLEMENTARY .50 FIXTURES �--
% POWER / !
TOTAL FEE $ UTILITY CO.NOTIFIED
FINAL
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