HomeMy Public PortalAbout5736 ROSEMEAD BLVD___ WILL"un J. rVJ6 wurli: nn%*Mban —FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
ADDRESS t3 l+ S .��+ RECEIVED BY READY FOR DATE ISSUED
lI FIRST INSPECTION-
CITY
NSPECTION•CITY W►O h + f: 4-j*,(,( L�TEL. NO_ a tJ+Ipy�r ®/�/(��J'
i
C 4_ ENO. / Jd'f tl EXPIRES&-JO �� BUILDING S 3,�. ��
FM ' ADDRESS w.
E .
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST j ��. 9 T_
RECEPTACLES CROSS
ST
WALL SWITCHES OWNER G Are, m a 19 O
TOTAL OUTLETS SC $
MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
NO.
FIXTURES S CITY TEL.
MISC. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS COIIIIECT
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 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
New MVD. HIS oven INC. MAC~ OF THE RESIDENTI OPERTY DESCRIBED Ova.
V2 8 L888 $ .25
SIGNATURE OF
I/2 2 .50 PERMITT
2 s 1.00 INSPECTION SSCOED
5 15 1.50
15 so 2.50
So 200 5.00 y,
200 Soo 10.00 .J
800 1000 18.00 ! a
Z
OVER 1000 20.00
M.G. SET/FRED. CHANGER-HP {r
WELDERS: AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA _
TEMP. MOTORS (78% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC. a AAAAV <.LZATC8 XC7,
SIGNS '
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS 7—
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 I �� CONDUIT )
FIXTURES $1.00 WIRING _
SUPPLEMENTARY ,50 FIXTURES
POWER
TOTAL FEE $ / UTILITY CO. NOTIFIED aJO
i "Le! ,
FINAL, �"�� Sry �lh'ittr(;41.L%
76A 889 DBS# 8A. 4-82
DOPon2nd
Of L BUILDING
WM.J. .COUNTY NGIN!!R gdn ADDRESS i CNr�
CANATT D.GRIFFIN,BYP'T OR BYIUSINN
LOCALITY Q
FOR AP CANT TO FILL IN NEAREST
PEDWLI
F� CROSS ST. as N
NUMBER EACH REE
. :LIGHT OUTLETS OWNER O O Q
4 ma
RECEPTACLES MAIL
ADDRESS
L WALLSWITCHRE
TOTAL OUTLETS B6 CITY TEL.NO
ELEC.RANGES RB ELECTRICIAN t! k Jr-A
ELM-HEATERS 211 ADDRESS do / I: is N( Tib
KW EA CITY I� YN O IL t jr TEL NO. + /
FIXTURES 11 WOMAN / 87 r&P
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. GROUP ZONE Raor roR IE�PEerIOR
NUMBER OF RECEPTACLE CIRCUITS r�
MOTORS
NUNSER HORSEPOWER FRE
NEW HYD. HP GVER INC. EACN
&LESS S .20
TA 2 .00
s 11 1.00
B 111 1.00
111 110 2.110
110 200 0.00
Him T SIL A.
e I r!
NO.SIGNS NO.TRANS.
-NO.BRING NO LAMPB
FOR EACH
WIRING M1.00, O O
FIXTURES 21.00 ��
�E'
SUPPLEMENT R .110 +'+
! MOMMA
TOTAL FEE S J O DATE INSPECiOR'R S16HATURE-
1 RRRERY ACRNMLZDGR THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE RS CORRECT AND AMER TO COMPLY W.I. all.■.��e
WITH ALLCOUNTY ORDINANCE! AND STATE LAMS REGULATING WIRING
ELECTRICAL MIRING.
1 HEREBY CERTIFY THAT 1 AN PROPERLY REGISTEIIED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANSEL= COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AN THE LEGALR OF THU ABOVE POWER
DESCRIBED RESIDENTIAL PERTY. ��� �• ,
SIGNATURE UTILITY CO.NOTIFIRD
OF PRRMITTRE FINAL
WILLIAM J.FOX■C&PMTV ENGINEER VALMTM A.C.VETT■CHIEF ELECT.INSPECTOR
_ &0485R DEC 1 2 150 o
r a/
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