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76AS63 DBS 6A 11-50` APPLICATION FOR.PERMIT ,
DEPARTMENT OF BUILDING AND SAFETY 1S
' COUNTY OF LOS ANGELES �. 1
WILLIAM J. FOX, CHIEF ENGINEER ELEC
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE" PERMIT NO.
ELECTRICIAN R. F. Walton GU '�
RECEIVED BY READY FOR DATE ISSUED
ADDRESS 1134 N. Acacia St. �n nom_ FIRST INSPECTION
CITY San?Gab. TEL. NO AT 68583
COUNTY LICENSE NO. 1104 -EXPIRES II ABUILDING
DDRESS 773'.9,7—
PERMIT FEES
FEE I
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS Sc $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS- 25 CITY TEL. NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS
i AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE -VALID LOS
ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NUMBER HORSEPOWER FEE
NEW MVD. H OVER I INC. EACH OF THE RESIDENTIAL PROPERTY-DESCRIBED ABOVE.
I/2 a LESS $ .25 SIGNATURE OF
I/z 2 . PERMITTEE
50
2 5 1.oo INSPECTION RECORD
5 15 1.50
15 SO 2.50
50 200 5.00 `
200 Soo 10.00 i J
Soo 1000 _15.00 Z
OVER 1000 •20.00 - tJ'
M. G. SET/FREQ. CHANGER-HP 0
WELDERS: AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. APPROVALS"
t i7
NO. NO. LAMPS
_ DATE. ..INSPECTOR'S NAME
FOR EACH PERMIT:
�p CONDUIT ••I' ��oa.
WIRING $1.00 I GSC,
kW'IRIN
FIXTURES $1.00 y /� _ ��•-
SUPPLEMENTARY .5o �—9 FIXTURES -c-L V's ' '
POWER .
TOTAL FEE $ � UTILITY CO. NOTIFIED
•® I FINAL �.... •J' ��
76A663,D85 5A 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICy NO. GROUP ZONE PERMIT NO.
ELECTRICIAN Walton �yC7 ;L-)f/ ',3,<
A acia S' RECEIVED BY READY FOR DATE ISSUED
ADDRESS 5134 Id
FIRST INSPECTION
CITY San G b. TEL. No. AT 68583 ��3-
COUNTY LICENSE NO, 1104 EXPIRES ABUILDING 9240 La Rosa Dr.
PERMIT FEES
NUMBER EACH FEE LOCALITY Temple Cit
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER Bo E. Turner
TOTAL OUTLETS 5c $ MAIL
ELEC. RANGES 2S ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. H OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/2 S LE9H $ .251476SIGNATURE OF
I/2 2 .50 PERMITTEE.
2 3 1.00 INSPECTION RECORD
5 13 1.50
is I 50 2.50
_ 60 200 5.00
--
200 SOO 10.00 J
Soo 1000 15.00 Z
OVER 1000 20.00 (g
M.G. BET/FREQ. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
. MOVED MOTORS (75% OF ORIO.)
MISC.
SIGNS
=0. NO.TRANS.
APPROVALS
NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING 1� � /oml V
SUPPLEMENTARY .50 FIXTURES
POWER
I
TOTAL FEE $ UTILITY CO. NOTIFIED
FINAL �~
7
DBSS-SAS-SA 12-54 B AIr A PVTION FOR■ ELECT■ IC" PERMIT'
1;
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILD 1 NG�Z /�0
WM. J. FOX. COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING - -
FOR APPLICANT_ TO'FILL IN ' LocnuTY
PERMIT FEES CCRoss sr.: 0 NcD
FEE
NUMACH
BER E
LIGHT 1
OUTLETS ./ OWNER - LO
RECEPTACLES MAILADRESSWALL SWITCHES {�TOTAL OUTLETS5b S CITY/P// A6� 'C=f�L. NO.
ELEC. RANGES 25 ELECTRICIANELEC HEATERS 25 ADDRESS (/L LJA -
KW EA -
T L
FIXTURES - '3 5 _/ U
LICENSE NO.
NUMBER OF LIGHT.CIRCUITS - - -
_ „DISTRICT NO GROUP' ONE READY-FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS "� Q
MOTORS
J oTt
NUMBER HORSEPOWER FEE INSPECTION RECORD
.NEW MVD. HP OVER INC EACH
I�&LESS $ .25
1/2 2 .50 ,
.2 5 1.00
5 15 1 50
15 -50• 2.50
50 '.200 .5.00 -
MISC.
NO- SIGNS NO TRANS '
NO SIGNS NO. LAMPS
FOR EACH PERMIT:
-WIRING $1.00 _{
FIXTURES $1.00 �_ -. - -•
SUPPLEMENTARY -- - ,50 •'
APPROVALS
TTAL'FEE $ ..DATE 'INSPECTOR'S SIGNATURE ,
1 HEREBY ACKNOWLEDGE THAT'1 HAVE READ THIS'APPLICATION CONDUIT, '
AND STATE THAT THE ABOVE •IS CORRECT 'AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING'
-- -�-s-�
ELECTRICAL WIRING. -
1 HEREBY CERTIFY THAT- I AM PROPERLY REGISTERED.AND/OR 'FIXTURES '
,L:ICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF' .
CALIFORNIA OR •THAT'I AM THE LEGAL OWNER OF'THE ABOVE, POWER
DESCRIBED RESIDENTIAL PRO TY. '
UTILITY CO.NOTIFIED
SIGNATURE
"OF PERMITTEE FINAL � +•�-� �'
WILLIAM J.,FOX, COUNTY ENGINEER r VALIDATION
.�� 1.7 u� _M27a. 2. • 2.8 5 �'
06
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