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'YGA%M M8$A 7-51 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY � ����
•
COUNTY OFF LOS LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZONE PERMIT NO.
ELECTRICIAN -f—
/F--301 X /
RECEIVED BY READY FOR DATE 16NUED
ADDRESS Z 7!T FIRST INSPECTION t
CITY TEL NO �i V.4
COUNTY LICENSE NO �� EXPIRES BUILDING/J���J/� f�//� wd�
ADDRESS
PERMIT FEES
Pt[
NUMBER EACH LOCALITY
LIGHT OUTLETS 2of NEAREST
CROB8 ST
RECEPTACLES
WALL 13WITCHES OWNER
TOTAL OUTLETS 5C $ MAIL
ELEC RANGES 89 ADDRESS
ELEC HEATERS 25 CITY TEL NO
FIXTURES 5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LISHT 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
NEW MVD HP AVER IND [ADH OF THE RESIDENTIAL PROP Y DESCRIBED ABOVE
A L[86 S 25 SIGNATURE OF
y a 50 PERMITTEE
a S 1 °O
15 1 SPECTION RECORD
s
is 50 250
s0 200 1 Sao
200 SOO 10 00 J
B00 1000 is 00 Q
Z
OVER 1000 2000 5
MO HET/FREq CHANGER-HP rz
WELDERS AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (75% or ome)
MOVED MOTORS (75% of oRID)
M18C
SIGNS
NO NO TRANS
APPROVALS
NO NO LAMPS
FOR EACH PERMIT DAT[ INBPECTOR'B NAME
WIRING $100 CONDUIT tt
FIXTURES *Ica d WIRING J
SUPPLEMENTARY 5° FIXTURES 'A
POWER
TOTAL FEE sd 40 UTILITY CO NOTIFIED
FINAL O