HomeMy Public PortalAbout10215 GREEN ST_Electrical__ T �
7eAe93 al■A 11-Ba APPLICATION FOR PE MIT
DEPARTMENT OF BUILDING AMID SAFETY ��CTR I C 1
COUNTY OF LOS ANGII.FS
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO Fl" IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
c RECEIy D BY READY FOR DATE ISSUED
ADDRIRB FIRST INSPECTION /✓ �I
clTv 4AjAy,6,k T1D— N Q.
U r30 BUILDING
PERMIT FEES ADDR ISH
UM R EACH FLE LOCALITY
LIGHT OUTLET! NEAREST
R EC CROSD ST.IPTACL[S / �
WALL SWITCHES OWNER eAAr%I
TOTAL OUTL 5c MAIL
ELEC. RANGES Z! ADDRESS Y C Q�
ELEC. HEATERS se cm, O
FDITURIS O 5 1 HEREBY ACKNOWLIEDGI THAT 1 HAVE READ THIS
mime. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGRQ TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RICETTACLK CIRCUITS AND STATE LAWS REGULATING EI1CTPtICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
Nuuene HORS @Z FEE
ANGELIS COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
ROW
Nnr Mw. Hr Ov=R INC.
uoa OF THE RESIDENTS ROP DKSCRIMIKD
1 •LAS '•25 SIGNATURE OF
2 .50 HRMITTEL_ c
>: 5 1.OQ ENSPEC.TION RECORD
is 15 1.50
76 50 2.80
50 200 5.00
s 500 10.00 J
500 1000 15.00
OVER 100Q 20.00
M. G. err/FRxq. CHANGER-HP R
WELDRSt AC-KVA O
GENERATORS-KW
TRANBFORMERS-"A
TEMP. MOTORS 75 of oma.
MOVED MOTORS 76 or OPUG.
SIGNS
NO. NO. TRANS. APPROVALS
NO, NO. LAMPS
DATE INSF R'S AME
FOR EACH PttRY1T
T
WIRING $1.00 CONDUI
FIXTURES 1.00 WIRING
S U PPLJEM ENTA RY 50 F I]IT U R IS
POWER
TOTAL FEE S 9 UTILITY CO. NOTIFIED
I
lZ