HomeMy Public PortalAbout4934 RYLAND AVE_Electrical__ 76A668 DBS SA „- o APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COO UNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIC�NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
CITY ZinwdATEL. NO. a �U" , (p♦
COUNTY LICENSENO. ` EXPIRES ADDRESS CJI.
PERMIT F ,
FEE
NUMBER EACH LOCALITY %
r
LIGHT OUTLETS NEAREST
CROSS S ..
RECEPTACLES V n V
WALL SWITCHES OWNER
TOTAL OUTLETS Sc S MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 23 CITY TEL. NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 1S 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 HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE
NEW MVD. HP OVER I INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I 1/2&LESS S .25 _ SIGNATURE OF
I/2 2 .50 PERMITTEE
G
2 5 1.00 INSPECTION RECORD
5 1s 1.50
15 50 2.50
50 200 5.00
200 500 10.00 J
SOO 1000 15.00 Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP a
WELDERS:AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (7S%OFCRIS.)
MOVED MOTORS (75%OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS. I APPROVALS
NO. NO. LAMPS DAL INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING
$1.00 v' CONDUIT
FIXTURES $1.00 It, WIRING
SUPPLEMENTARY .50 FIXTURES 4,vow"
l POWER q!
TOTAL FEE S a UTILITY CO. NOTIFIED . "L 7��"^+ q�' ♦ 9 'J�
® I FINAL
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