HomeMy Public PortalAbout9921 NADINE ST_Electrical__ �70A DBB SA 3-50 APPLICATIONI FOR PEBIM
M
DEPARTENT OFAND SAFETY ELEC i ELECTRIC I
'
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. !GROUP ZONE PERMIT NO.
FOR APPLICANT TO FILL IN !�
ELECTRICIAN V
ADDRESS O RECEIVED BY PIRREEirr READY
rOR DATE (ISSUED
CITY 4ML.NO.
COUNTY LICENBC NO. 7► EXPIRES BUIESS
LDING
PERMIT FEES ADDR
NUMBER EACH PEE LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES OWNER
TOTAL OUTLETS Sp O MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 2s CITY TEL NO.
FIXTURES S I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDJ'NANCEB
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
New Mw. HP OVER IND. "ON OF THE RESIDENTIAL PROPE DESCRIBED ABOVE.
Yjt A Less .2s
SIGNATURE OF3��
� 2 .50 PERM 37 � I
1
2 g 1'00 INSPECTION RECORD
s 1s 1.50
is so 2.50
50 2013 5.00
200 goo 10.00 J
Sao 1000 15.00 Z
OVER 1000 1 20.00
M.O. BET FRE CHANGER-HP Fe
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (713% or CIR:G-)
MOVED MOTORS (75or oRioa
MISC.
BIONS
NO. NO.TRANS. APPROVALS
NO. NO.LAMPS
FOR-EACH PERMIT: DATE INSPECTOR'S NAME
WIRING 61.00 V O CONDUIT
FIXTURES S1.O0 1 00 WIRING 3 +
SUPPLEMENTARY .30 F IXTU RES
POWER
TOTAL FEE s �S UTILITY CO.NOTIFIED
FINAL