HomeMy Public PortalAbout6167 HART AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER ELECTRIC 1
' DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN C_ r?; '
ADDRESS RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
CITY _ TEL. NO.
COUNTY LICENSE NO. EXPIRES BUILDING
-
PERM
FEES FEE ADDRESS
NUMBER EACH LOCALITY
LIGHT OUTLETS
NEAREST
RECEPTACLES S T•
WALL SWITCHES
- OWNER
TOTAL OUTLETS Sc $
MAIL
ELEC. RANGES L 1 25 ADDRESS
ELEC. HEATERS 25
FIXTURES 5 CITY TEL. NO.
MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT
- - iAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBERHORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEw MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
&LE99 $ .25
SIGNATURE OE
'/z 2 .50 PERM ITT -,
f 2 s 1.00 INSPECTION RECORD
5 IS 1.50 -- -
15 50 2.50
50 200 5.00
200 _ Soo 10.00 .J
500 1000 15.00 z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA
GENERATORS - KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS �n
NO. NO. TRANS. APPROVALS ALS
NO. NO. LAMPS
FOR EACH PERMIT:
DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ UTILITY CO, NOTIFIED
FINAL
76A663 DBS: 5A. 4-52