HomeMy Public PortalAbout6046 KAUFFMAN AVE_Electrical__ i 1 INU
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NUMBER OF OUTLE'm ON CURCUITS PAN
LOCATION BY ROOMS
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NO. OF RANGES
PERMIT FES
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76A663 DBS 5A „-5'D APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FORA PLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADDRESS N FIRST INSPECTION
CITY TEL NO.
^ q
COUNTY LICENSE NO. ,O i^ EXPIRES BUILDING
PERMIT FEES ADDRESS /o /
FEE LOCALITY ( 1 v ,fes
NUMBER EACH _
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER V
TOTAL OUTLETS Sc $ 9 $; MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 3 b
1 HEREBY ACKNOWLEDGE 'THAT I HAVE READ THIS
MISC. _ APPLICATION AND STATE THAT THE ABOVE IB 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 I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INCO
. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/2 4 LESS $ .25 SIGNATURE OF
_ I/2 2 .50 PERMITTEE.
— 2 5 1.00 INSPECTION RECORD
_ s is 1.50
15 50 2.50
_ 50 200 5.00 _
200 Boo 10.00 J
Q
500 1 000 15.00 Z
OVER 1000 20.00 p
M.G. BET/FREQ. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
"I MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE 1 PE1CTO/RIS NAME
WIRING $1.00 � CONDUIT I. N1M1/
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER r
TOTAL FEE $ rUTILITY CO. NOTIFIED
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