HomeMy Public PortalAbout10627 LYNROSE ST_Electrical__ .. COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING & SAFETY ELECTRIC 1
W130 M 1. FOB, COUNTY ENGWn
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN WAfff Ar X"
`
ADDRESS �- REC IVED BY READY FOR DATE ISSUED
�,g 9 FIRST INSPECTION
CITY s TEL. N Pd �.-Z ):.`,
COUNTY LICENSE NO. EXPIRES BUILDING
PES,FEES ADDRESS
NUMBER LIACH FEE
Q LOCALITY
LIGHT OUTLETS 10 NEAREST ,
RECEPTACLES ROSS ST.
glf
WALL SWITCHES
OWNER •
TOTAL OUTLETS - Sc $ ' MAIL
ELEC. RANGES 25 ADDRE69
ELEC. HEATERS 25 1 �d
FIXTURES 5 �J CITY . NO.
MISC. 1 HEREBY ACK OWL+EDGE T AT 1 HAVE READ THIS
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT
d 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 I INC. EACH OF THE RESIDENTIAL PROPIERTY DESCRIBED ABOVE.
Va a LE88 $ .25 �n�
SIGNATURE OF %�.� h Gfjk rSL .�
V2 2 .50 PERM17T
2 s 1.00 INSPECTION RECORD
s 15 1.50
Is so 2.50
So 200 5.00
200 BOO 10.00
BOO 1000 15.00 a
Z
OVER 1000 20.00 (9
M.G. SET/FREQ. CHANGER-HP It
O
WELDERS• AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF OR:C.)
MOVED MOTORS (75% OF ORIG.)
Misc.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DA3E INSPECTOR'S NAME
WIRING $1.00 6Fa CONDUIT w yv S
FIXTURES $1.00 WIRING
SUPPLEMENTARY Sp FIXTURES
J' i POWER r a
TOTAL FEE $ f `/ UTILITY CO. NOTIFIED �I . /� l� R.
'i-'FINAL
76A 669 1)138# SA. 4-B2 �- '�