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Dag*A APPLICATION FOR ELECTRIC PERMIT 1
DBB�BA
DIVISION OF 13UMDIIIG AND SAFETY
Deportment of County Engineer
of Los Angeles ADDRES8 �I111-
xDING
WM J FOCOUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY 1fM Ct
FOR APPLICANT TO FILL IN NEAREST
PERNIIT FEES CROSS ST na n-aw
NUM R EACH FEE
OWNER RCA-
LIGHT OUTLETS
- MAIL
RECEPTACLES Z' ADDRESS
WALL SWITCHES
I TOTAL OUTLETS Z S S CITY TEL NO
ELEC RANGES 25 ELECTRICIAN IJN6
ELEC HEATERS 25 ADDRESS 3J>D S M'Y2T
KW EA CITY N TEL NO 1L
FIXTURES S LICENSE NO
NUMBER OF LIGHT CIRCUITS - DISTRIC O jGRqUP3
;Q `HEADY FOR IRSPECTIOR
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD HP OVER INC EACH w�
�.+ &LESS $ 25 V
2 SO
2 S 100
S iS ISO
IS SO 250
SO 200 500
MISC
4
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100 Q�
FIXTURES $100
SUPPLEMENTARY SO APPROVALS
TOTAL FEE $ DATE INSPECTOR S SIGNATURE
i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING _
1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER `
DESCRIBED RESIDEN MRO
SIGNATURE UTILITY CO NOTIFIED ;tj!E!�f-A
OF PERMITTEE ` FINAL 0.4 ma4i�
WILLIAM J FOX.COUNTY ENGINEER VAIMTION A C VEIT.CHIEF ELECT INSPECTOR
L ACo g 5 1 7 NO JUL 2 4 2 4,6 0 0
COUNTY OF LOS ANGELES APPLICA71*3FOR PERMIT Ij-j�
DSION F of CountBUILDING
Engineer ��������� 4�
is
DIVISION OF BUILDING & SAFETY �
WILLIAM J FOX, Count Enslour
I L IN DISTRICT NO. GROUP I ZONE PERM NO.
ELECTRICIA
5 H T?-3 z � l
rico on ro Or R EIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
CITY 310 S MYRTLE-MONROVh9 NO a er
COUNTY LICENSE N& 8 5304 EXPIRES 54- BUILDING ,�f
PERMIT FEES ADDRESS 3 Ado IV o12 L
NUMBER EACH FEE LOCALITY 7ANvas (21
LIGHT OUTLETS NEAREST
RECEPTACLES 3 CROBB BT RO b K1 A
WALL SWITCHES OWNER M c^t 13 R it A ria
TOTAL OUTLETS BD 5 MAIL `-
ELEC RANGES 26 ADDRESS Xp 44 '5,j& I(F j4^
ELEC HEATERS 28 b .-T lg„
FIXTURES B CITY TEL. NO
1 HEREBY AOKNOWLEOOE THAT 1 HAVE READ THIS
MISC APPLICATION AND BTATE 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 LOB
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
mm Mvv HP OVER ONO FAUN of THE RESIDENTIAL PROPERTY DEB RIBED ABOVE
Vit A LEON 0 28 BIBNATURE OF _�
2 SO PERMITTt
B B 100 INSPECTION RECORD
6 I S 1 8D
7B SO 250
BO 200 son
200 Boo �o Do S` t ,CA0 r 4 owl D ie-
Boo 10013 1500
t t Z
OVER 1000 20 DO 0
M G BBT FREG CHANGER-HP lG
WELDERS AC-KVA SB V. G evw a aL O
GENERATORS - KW
TRANBFORMCRS - EVA
TEMP MOTORS (78or DRi■)
MOVED MOTORS (75Or 03111) FIGO QS
mine
SIGNS
NO NO TRANS.
NO. NQ LAMPS APPROVALS
FOR EACH PERMITI DATE INSPECTOR910 NAME
WIRING S1.00 CONDUIT
11111301 WIRING
FIXTURES 6 �{
SUPPLEMENTARY SO FIXTURES
OWER
TOTAUrrmki- s�r UTILITY DO NOTIFIED /
FINAL
76^WA DEB*BA 9-69