HomeMy Public PortalAbout9400 LOWER AZUSA RD_Electrical__ 76"63 DBS 5A 8-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
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COUNTY OF LOS ANGELES ELECTRICWILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN �i����� / �e*�
RECEIVED BY EADY FOR DATE ISSUED
ADDRESS 0 14'/_ !A•'7 FIRST INSPECTION
CITY
COUNTY LICENSE NO. EXPIRES. BUILDING
PERMIT FEESADDRESS 7� -'��[� /v
NUMBER EACH FEE LOCALITY /i +
LIGHT OUTLETS fly NEAREST
CRO88 ST
RECEPTACLES
WALL SWITCHES
sTOTAL OUTLETS 5O $ MAI
ELEC. RANGES 26 AD. 88
ELEC. HEATERS 25Ll
CITY TEL. NO.
FIXTURES a 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 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEw MVD. HP OVER INC. EACH OF THE RESIDENT PROPERTY DESCRIBED ABOVE.
YX A LEBB $ .25 SIGNATURE OF
Y22 .60 PERMITTE ��
2 5 1.1313 SPECTION RECORD
5 16 1.50
16 60 2.50
50 200 5.00
200 600 10.00 JQ
SOO 1000 15.00 Z
OVER 1000 20.00 p
M.G. BET/FREQ. CHANGER-HP lz
WELDERS•AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% of CRIB.)
MOVED MOTORS (75% OF DRIB.)-
MISC.
SIGNS
NO. NO.TRANS.
• APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT: DATF/I INBPEOTORIS NAME
WIRING $1.00 CONDUIT ����
FIXTURES $1.00 WIRING J' -t� 9!
v i
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ -UTILITY CO.NOTIFIED
/ FINAL ' /7�n