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°me0010.°" APPLICA 10 FOR ELECTRIC P MIT 1
COUNTY OF LOS ANGELES _...�_ 7,
DEPARTMENT OF COUNTY ENGINEERJBUILDINGBUILDING..AND SAFETY DIVISIONDDREJOHN A. LAMBIE. COUNTY ENGINEERWILLIAM A.JENSEN,Sup T of BUILDINGOCALITY
€: FOR APPLICANT TO FILL 1N CROSS sT .
kS PERMIT FEES
IT E M NUMBER EACH FEE SAI
OWNER
%. OUTLET G} $ g v R MAIL
LIGHTS RECEFr. sw. / ,10 (J ADDRESS
LIGHTING FIXTURES .10 0 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .$O ADDRESS IC
Co.. Y10e
ELEC.SPACE HTRS. DISHWASHERS CITY RIC T-04. oadway
GARBAGE DISPOSERS AUTO.- 0;7STATE 7 � Calif o AT a "'
WASHERS STA.COOKING UNITS .25 LICENSE NO. '� i- 9
MOTORS: OVER INC. H.P. DISTRICT Np..7 I GR I Z NE P ESSED BY
0— 1/2 .25
1/2— 2 .50 MSPECTION RECORD
2— 5 1.00
0— 15 1.50
is— 50 2.50
SO—2005.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER$OOV 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 D
SUPPLEMENTARY PERMIT .50
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CQRRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING ,✓ //[/ ;�O /
I HEREBY CERTIFY THA711 AM PROPERLY REGISTE A D/OR
LICENSED AS REQUIRED LOS ANGELES CO ST OF FIXTURES
CALIFORNIA OR THAT 1 THE LEN TH OVE -
DESCRIBED RES Ti PERTY. POWER
SIGNATURE . UTILITY CO.NOTIFIED
OF PERMITT ZINAL I Z
�n VALIDA ARTHUR C.VEL
CK Mo SUPERVISING LECTRICAL ENGINEER
0-60 4 2 S X64 8 2 D 3.20 M
76A663 099 SA 11-SO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT,�10. GROUP ZONE PERMIT%D.
ELECTRICIAN_ S/'
® RECEIVED BY READY FOR DATE ISSUED
ADDRESS B �6. t�I FIRST INSPECTION
CITY TEL.NO.41,
COUNTY LICENSE N0. EXPIRES e �G�� BUILDING 1
ADDRESS % / �Cr L/ /lx,`h/16`i
PERMIT FEES
NUMBER EACH FEE LOCALITY LOCALITY�I��,L
LIGHT OUTLETS NEAREST
RECEPTACLES 3 CR099 9T.
WALL SWITCHES OWNER/L a
TOTAL OUTLETS 5c _S MAIL ? /'
ELEC. RANGES 85 ADDRESS I d.2J IV 6:��b1 p•�(5.
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 �
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
M16C. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEw MVO. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESC IBED.ABOVE.
I/2 & LESS $ .25 SIGNATURE or
,Z
I/2 2 .50 PERMITTEE
2 5 1.°° INSPECTION RECORD
5 15 1.50
is 50 2.50
50 200 5.00
200 B00 10.00 J
500 1000 15.00 Q
z
OVER 1000 20.00 m
M.G. BET/FREQ. CHANGER-HP It
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75/0 OR ORIG.) -
MOVED MOTORS (75% of MR19.)
MISC.
SIGNS
NO. NO.TRANS. I APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT: DAD ' INSPECTOR'S NAME
WIRING $1.170 8 CONDUIT
WIRING L <<
FIXTUREB $1.00
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE S CJ UTILITY CO.NOTIFIED
FINAL
DBS
SpA�pBSSyMrlI�1SETS
.7-47 y� �'pA�}y �pT^ pp�� �{py���p CATION FOR
PEFe
Wr
�m.�t71ASa17x1C����g®�1C E➢1U 88�OfilYl9 1�11.TIf117. �y��,Y _ ELECTRIC COU1V Y Y OF LOS ANGEMS
M. J. FOX CHIEF ENGINEER
_ AME DISTR19T NO. GROUP ZONE PERMIT NO.-
U ADDRESS f s f) S-7 Vr`
Isl 1/`
CITY - N.O. ,� ED BY FIRS IT WS INSPECTION DATE ISSUED
.I, COUNTY - LV��$-1-7
1q:I CERT.NO. EXPIRES
"PlICANT FUL IN MAMY OUTLINED PORTION ONLY
JOB
i 1DESCilY.¢MON OF WORK ADDRESS � \ - lr.y s d
NUMBER OR OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS r
_ NEAREST /n ` e�' q'�
LIGHT OUTLETS SW. PLUGS FniT CROSS ST. ! �0
CIRCUIT A B C D E 'F G I H °a NAME'c-, k L„ C_. L 9 Q
Z MAIL n kA
ADDRESS (�v
' O CITY `1 F TEL.NO.
A AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
o- Y.AM THE LEGAL CORC R OF THE P PERrY DESCRIBED
ABOVE
t IL
- OWNER.
colmcnoris
Li
J
17
m
• � D
TOTAL
NO. OF OUTLETS IXffi a "PROVA
1 NO. OF FIXTURES ffi DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. ffi CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR-HEATERS ffi FIXTURES
MISCELLANEOUS ffi /1I .i POWER
PERMIT FEE ffi ' UTILITY CO.NOT IED @
TOTAL FEE FINAL �'