HomeMy Public PortalAbout5337 SANTA ANITA AVE_Electrical__ COUNTY OF LOS ANGE M APPLICATION FOR PERMIT
• DEPARTNMNT OF COUNTY ENGINEER
DIELECTRIC 1
VISION OF BUIIAIINiG& SAFETY
Wumm J. FOB.COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
ADDRESS R CEIVED B READY FOR DATE ISSUED
j FIRST INSPECTION
CITY d/ , TEL. NO.,*
COUNTY LICENSE NO. 07' %5 97 EXPIRES -.SO -.S%S BUILDING �
PE DSIT FEES ADDRESS L7;pjk _
NUMBER EACH FEE ,
LOCALITY (�
LIGHT OUTLETS ip NEAREST
RECEPTACLES l CROSS ST. i J
WALL SWITCHES XX OWNER
TOTAL OUTLETS sC E MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
CITY TEL. NO.
FIXTURES g
MISC. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABT
ABOVE IS CORREC
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
Nue1BERHORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
New MVD. HP OVER INC. TACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
s LEas $ .25 SIGNATURE OF ?
V2 2 .50 PERMITT
2 s 1.00 INSPECTION RECORD
s 15 I.so _
is so 2.50
SO 200 5.00 f
200 goo 10.00 .1
sDo 1000 18.00 a
Z
OVER iOOo 20.00 8
M.G. sET/FREQ. CHANGER-HP Ic
WELDERS: AC-KVA O
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF 01116.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LA PS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 0010 CONDUIT
FIXTURES 51.00 Q 0 WIRING
' v
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ UTILITY CO. NOTIFIED LC
INA
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