HomeMy Public PortalAbout9613 VAL ST_Electrical__ 7Mbwl DBB sw a-eD APPLICATION FOR PERMIT
DEPARTMENT OFNa AND SAFETY ELECTRIC i
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX. CNI[r ENOINL[R
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
S / i.w 4v
ELECTRICIAN REO[PIED BY READY rOR OATTT[[[ ISSUED
ADDR[BB l FIRST INBC
PLTION
CITY TEL NO f/N/
COUNTY IC[NBt'"o, QMIRF6 BUILDING
ey 10
PERMIT FEES ADDRESS
NUMBER EAOH RE LOOALRY
LIGHT OUTLETS NEAR<BT
RECEPTALM OROBB BT.
O
WALL SWITCHES OWNS
TOTAL OUTLETS 1 Bo MAIL
ELEC RANGES 76 ADDRESS
ELEC HEATERS _ lid OIn TEL. NO.
►IXTUR[A S 1 HEREBY AOKNOWLEDOE THAT 1 HAVE READ THIS
MIM APPLICATION AND STAT[ THAT THE ABOVE IA CORRECT
NUMBER or LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER Or RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
Numm m HORSEPOWER rEc ANGELES COUNTY LICQIB[. OR 1 AM THE LEGAL OWNER
NIm MVD HP OVER IND [IIDN Or THE RESIDENTIAL PROP MESO Bm ABOVE.
w W[P25 SIGNATURE Or57 �✓A PERMITTEBINSPECTION RECORD
B16 6060 BDo BOO A
GOO 1000
OVER Imo Stu an _ F3
M O oxT/rRzq CHANGER-HP
WELDERS•AC-KVA D
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS 76 Or DRID)
MOVED MOTORS (75or OHIO)
MIBC
SIGNS
NO. NO TRANS. APPROVALS
NO O M
roll KOH PERMITS
DAT[ INSPECTCR'B AM
WIRING SLID CONDUIT
FIXTURES •1 m C) (� WIRING
SUPPLEMENTARY -BGrOtTUR[e
R
TOTAL F¢E ¢ y urlLln DD NDTIr1[D
/ FINAL