HomeMy Public PortalAbout10630 LYNROSE ST_Electrical__ "A868' DBS BA 8-48 QD It b X S y3 o APPLICATION.FOR PER& `
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL INJDRIRICT 11JQ: GROUP ZONE PERMIT NO.
�(y 0 f7vo
[AD,DMRl
TRICIAN EIVED BY READY FOR DATE ISSUED
SSIleo. �- FIRST INSPECTION J
TEL. 1 J
TY LICENSE NO. EXPIRES BUILpING r/� �✓f `
PERMIT FEES ADDRESS r
FEE ' �D
BER OUTLETS EACH LOCALITY
LIGHTS Sc $ NEARESTL9LEROS6 ST. 6�1��6�✓6'RECEPTACLES 5
FIXTURES s OWNER
WALL SWITCHES 5 MAIC,
ELEC.•RANGES 25 ADDRESS (/
ELEC. HEATERS 25 CITY TEL. NO.
M18C. I HEREBYiv ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED: APPLICATION AND STATE THAT THE- ABOVE 18 CORRECT
LIGHTS RECEPTACLES AND .AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND'STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HOVER NC. EACH RORSEPOWER I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NEW MVD. HP
FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNEI
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
&LESS $ .25
Yt 2 .5 SIGNATURE OF s
2 5 1.0
PERMITTEE 5 �L�
s is 1.5-0 INSPECTION RECORD
1s so 2.50
s0 200 5.00
200 500 10.00
00 1000 15.00 a
OVER 1000 20.00 Z
M.G. SET FRED. CHANGER-HP
WELDERS: AC-KVA 0
GENERATORS - KW
TRANSFORMER - KVA
TEMP. MOTORS 75% OF OR16.
MOVED MOTORS 75 of ame.)
MISC.
SIGNS
TYPE: ' NO.TRANS.
TYPE: NO. LAMPS APPROV S
D E INSPECTOR'S NAME
R EACU PERMIT-
CONDUIT
WIRING $1.00 Q' i i
WjRlNrpFUXTURSS $1.00
SUPPLEMENTARY .50 FIXTURES
POWER 1z
TOTAL FEE $ UTILITY CO. NOTIFIED
FINAL
Y`, V