HomeMy Public PortalAbout5102 PERSIMMON AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY ELECTRICWILLIAM J. FOX, County EnOlneer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE rPERMIT NO.
ERRIN J,, A-/
ELECTRICIAN -
I RECEIVE BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
CITY TEL NO. Ic
COUNTY LICENSE NO. EXPIRES BUILDINO�j
PERMIT FEES ADOREBe
FEE
-N—UMBr�ER-EACH LOCALITY
LIGHT OUTLETS J NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES / OWNER
TOTAL OUTLETS 5C %,$L ld MAIL
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES 5 �'a
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MIBC. 'APPLICATION AND STATE 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 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE' ANGELEB COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY D CRIBED ABOVE.
%2 a LEES 41 .25 SIGNATURE OF
I/2 2 -513 PERMITTEI
2 5 1.00 INSPECTION RECORD
5 18 1.50
15 50 2.50.
50 200 5.00
200 500 10.00 J
500 1000 15.00 Z
OVER IOOO 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS.AC-KVA 0
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% Cr amci
MOVED MOTORS (75% OF CRIEI.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT: DATE n INBPECTORIB NAME-
WIRING $1.00
CONDUIT
FIXTU REB S1.130
'00 WIRING . -r l-Lo-i
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ UTILITY CO.NOTIFIED
FINAL
76A663 DBS#5A 4-52
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