HomeMy Public PortalAbout5537 WELLAND AVE_Electrical__ •. COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING& SAFETY - L E C T R I C 1
WILLIAM 1. FOX COUNTY ENGINM
FOR APPLICANT TO FILL IN DISTRICT QO. GROUP to-vE PERMIT NO.
ELECTRICIAN �KL' 'I i S ELECTRIC � � �( 08 A/. ;L 6
iftet rHWY. RECEIVED BY READY FOR DATE ISSUED
ADDRESS
FIRST INSPECTION g
CITY �® TEL. NO. A ��K f'-
COU TY LICENSE NO. 64 1 EXPIRES BUILDING
Pmom FM ADDRESS
NUNIMR1 EACH FEE
LOCALITY
LIGHT OUTLETS ej NEAREST
RECEPTACLES SROS§ST
WALL SWITCHES OWNER
TOTAL OUTLETS Sc S c
MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 2S
FIXTURES S d CITY TEL. NO.
FIT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF LIGHT CIRCUITS y g O APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUM-BER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER LeHORSEPOWER FEE ANGELES COUNTY LICEW , OR I AM THE LEGAL OWNER
NEW MV HP OVER Mc. EACH OF THE RESIDENTIAL PERTY DEB ED BOVE.
9 98 S .2S
SIGNATURE OF
V2 SO PERMITT
s
1.00 II�iSPSCTION RECORD
s 1s 1.50
1s so 2.50
S
o Poo 5.00
200 Soo 10.00 J
Soo i000 1 s.oo a
OVER 1000 20.00 Z
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF CRIG.)
MOVED MOTORS (75% OF oRIG.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT" /
FIXTURES $1.00 WIRING / i, _ ;!� (;y'• ' ., = �Y.f/lq�
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE $ UTILITY CO, NOTIFIED 1
FINA
76A B88 DBS# 8A. 4-5A