HomeMy Public PortalAbout4922 PERSIMMON AVE_Electrical__ 7"663 DBS 6A 7-51 APPLICATION FOR PERMIT
DIARTIIIIENT OF BUILDING AND SAFETY ��������
� _ COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
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FOR APPLICANT TO FILL IN DISTRICTNO. GROUP I ZONE PERMIT NO.
ELECTRICIAN Walton Rleotrio CO. &13 &507
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RECEIVED BY READY FOR DATE ISSUED
ADDRESS 24% No Rosemead Blvdo. FIRST INSPECTION
CITY K Monte TEL NO. FO 8'5567.9 � N'1 !11h. IA- 7 < 2
COUNTY LICENSE'NO. 1104 EXPIRES ADDRESS jr Q�2� �����
PERMIT FEES
NUMBER EACH FEE LOCALITY Temple City
LIGHT OUTLETS 7 NEAREST
RECEPTACLES 5?
CRSS BT.
WALL SWITCHES 7 OWNER Celeste Const. Co,
TOTAL OUTLETS 27 5O $ 1 35 MAIL
ELEC. RANGES 2s ADDRESS _
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES 7 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER.OF LIGHT CIRCUITS /C AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEw MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
%2 B LESS $ .25 SIGNATURE OF
%2 8 .50 PERMITTEE
-
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
ZOO 500 10.00
500 1000 15.00 Z
OVER 1000 20.00
M.G. BET/FREQ. CHAMBER-HP
WELDERS.,AC-KVA O
GENERATORS- KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIS.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 1100 CONDUIT i i z
FIXTURES $1,00 3. QQ
WIRING •F
BUIPPL .50 FIXTURES
POWER
TOTAL FEE $ $ 70 UTILITY co.NOTIFIE
FINAL ) L�i (VC S
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