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76AG5 o5a eA 11.50 —APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES : ELECT'R'IC 1
WILLIAM J FOX CHIEF ENGINEER
.. FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT N
_ _ 7
ELECTRICIA
ADDREB A dp� y RECEIVED BY. READY FORT`� + DATE ISSUED
j If C, TEL 1� r'N
a
OU IC N I Fs BUILDING I '
PERMIT FE&
, ADDRESS
FEE
'
NUMBER EACH LOCALITY
LIGHT OUTLETS 07 CROSSBT j I
RECEPTACLES r CROSS BY'
WALL ewlrcHES + OWNERI
TOTAL OUTLETS ' IBC + '1 MAIL ^ • + + '
ELEC RANGED 25 • ADDRESS
r I
HLEC HEATERS 25 ` I
CITY T� o '
FIXTURES 5
1 HEREBY ACKNOWLEDGE THAT I HAVE READ 'THIS
MIBC _ APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS - AND AGREE TO COMPLY WITH -ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NU."R HORSEPOWERANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROP DHSCRIB ABOVE
N_ m— HP oYue IKc IIACK
I + •"" 25 SIGNATURE OF 11
1 E 5D PERMITTEE_ _-
2 5 1 " ` 1 J INSPECTION RECORD
5 15 1 50 •-n - + -
15 50 E 50
50 200 5 00
200 EGG 1000 „J
500 1000 1500
Z
OVER 1000 20 00 (�
M G BET FRH CHANGER-HP E:
WELDERS AC-"A
GENERATORS-KW
TRANSFORMERS-KVA
TEMP MOTORS (75%of oRIG
MOVED MOTORS 76 OF ORIG
misc
SIGNS
NO NO TRANS APPROVALS ,
NO LAM
`1 FOR EACH PERMIT DA INSPECTOR-8AME
WIRING S,
00 CONDUIT
FIXTURES 1 00 WIRING
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE >� O UTILITYCO NOTIFIED
L FINAL