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COUNTY OF LOS ANGELES APPLICATION FOR PERM
' DEPARTMENT OF COUNTY ENGINEER ELECTRIC
DIVISION OF BUIMING& SAFETY
WILLIAM T. FO%, COUNTY ENGERM
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN a
ADDRESS RECEIVED BY READY FOR DATE ISSUED
n- c FIRST INSPECTION c //
CITY Y TEL. NO.
COUNTY LICENSE NO. I EXPIRES BUILDING /}�
PEWT FEES ADDRESS _/
NUMBER EACH FEE
OCALITY * v v
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST of
WALL.SWITCHES 0
TOTAL OUTLETS Sc 5 /
MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NOL(T -78d-
FIXTURES S o
MISC. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
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 L HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER I INC. OF THE RESIDENTIAL P OPERTY DESCRIBED ABOVE.
1/2 a I Es8 $ 25 SIGNATURE OF
I/9 2 .50 PERMITT
2 5 1.00 INSPEL''TION RECORD
5 1s 1.5 9-9/1 cen
1s so 2.50 " .o
s0 200 5.00 8
200 goo 10.00
�•Pio�I`t!9 a
soo f000 15.00F &, A�t covDx "'o o?0z'
w.
OVERI000 20.00 - vi
M.G. SET/FREQ. CHANGER-HP / AemZ Q
WELDERS•: AC-KVAy'�y
GENERATORS.KW a/♦TsS�C�e.!'� ,� ♦j" ca-,,Pelao s
TRANSFORMERS-KVA_
TEMP. MOTORS (78% of ORIG.)
MOVED MOTORS (75% OF 01116.) a
MISC.
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE IN CTOR'8 NAME
WIRING $1.00 17,0 CONDUIT
FIXTURES $1.00' �0 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE 5 UTILITY CO. NOTIFIED
FINAL a__76A668 DBS# SA. MSR
COUNTY OF LOSANGELES = APPLICATION FOR PERBUT
` DEPARTMENT OF COUNTY-ENGINEER ,
ti• DIVISION OF BUILDING& SAFETY S E L E C T R.I C 1
WII.LIAM J. FOS, COUNTY ENGIIqffit
FOR APPLICANT'TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN ag-_,A171 1*A67-1A1 3
ADDRESS RECEIVED BY READY FOR DATE 7880 D
FIRST INSPECTION
CITY &7z/` TEL. NO.
QWJNMWLICENSE NO. -Arad(o EXPIRESBUILDINGrl
PE H&FEES ADDRES
NUMBR EACH FEE
ELO ALITY /��1DLLc /�`
. y
LIGHT OUTLETS NEAREST /
RECEPTACLES CROSS
ROS ST V A
WALL SWITCHES
OWNER
TOTAL OUTLETS Sc S
r MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
FIXTURES 5 0g- CITY TEL. NO.
MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT
SAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OR 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. HP OVER INC. 6ACM OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
vs a us6 8 .25 SIGNATURE OF
I/e 2 .So 'PERMITTRE -
2 5 1.00
9 75 1.50 INSPECTION RECORD
'
75 SO 2.80
50 200 5.00
200• 500 10.00 .J
BOO 7000 18.00 Z
OVER 1000 20.00
M'.G. err/FREQ. CHANGER-HP a
WELDERS: AC-KVA Q
GENERATORS.-KW
TRANSFORMERS-KVA
TEMP. MOTORS. (75% of oRIG.)
MOVED MOTORS (75% OF ORIG.)
Misc.
SIGNS
NO. NO.TRANS.
- - NO. NO. LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 ` CONDUIT
FIXTURES 87.00 WIRING
SUPPLEMENTARY ,S0 FIXTURES
POWER f
TOTAL FEE S UTILITY CO, NOTIFIED
FINAL
76A 663 028# 6A. 4-02 .