HomeMy Public PortalAbout5940 LOMA AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT :NO. GROUP . NE PERMIT NO.
ELECTRICIANv tt r &� �Jf ''��
(�pe► v [(,pRECEIVED BY READY FOR DATC ISSUED
ADDRESSa�t,✓7 p ara , a �� '".;.2� "�.a"_3tf .... `�}=/'� -,`A FIRST INSPECTION
CITY /I..J'�r^'�S�i:C�f,f p� TEL. NO. go,,VtS a �/—�/"'�d`y ,.
Ccr6NTY— tCENE.Bftr NN01300q EXPIRES .0 � BUILDING {� /p
S�� PERMIT FEES - 'ADD REBB e}1 V
NUMBER EACH FEE LOCALITY - s
LIGHT OUTLETS NEAREST
RECEPTACLES - CROSS ST.
;WALL SWITCHES OWNER
TOTAL OUTLETS IIS` - Sc $ I91 'MAIL
ELEC. RANGES t 25 ADDRESS
ELEC. HEATERS �i 25 CITY TEL. NO.
FIXTURES � S t50—
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. q APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS 0 - 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 HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I-AM THE LEGAL OWNER
NEW MVD. HPOven IMV.__.. EACI+._-._ -- --- - -OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
- I/2 6 LESS $ .25 _ gIGNATURE OF / '
�z 2 .50 PERMITTEE.
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
SO zoo 5.00
200, 500 10.00 J
Sao 1000 15.00 �� Z
OVER 1000 20.00
_MOVED__MOTORB (75% OF ORIS.) r
M.G. SET/FREQ. CHANGER-HP O
WELDERB•AC-KVA
GENERATORS - KW
TRANSFORMERS - KVA
SIGNS
NO. NO.TRANS.
NO. NO. LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1,00 �'� CONDUIT `� y
FIXTURES .__ $1.00 R ala WIRING
'SUPPLEMENTARY .50 FIXTURES 3- -
e a� POWER
TOTAL FEE $ UTILITY CO. NOTIFIED
FINAL
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