HomeMy Public PortalAbout5703 OAK AVE_Electrical_10/11/1956_COUNTY OF LOS ANGELES
APPLICATION FOR PERMIT
DEPASTNIENT OF COUNTY ENGnvEER
DMMON OF MWING & SAFETY
E L E C T R I C �
WILLIAM T. FOX, COUNTY ENGTKMI
�
FOR PJPI T TO FILL IN
DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIANi' ^
r?
ADDRIZAR
RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
CITY TEL: N
�j,�
97, �/,/�Q'7�/
,
COUNTY LICENSE NO. Il :3 EXPIRES
0&,�
pmm FEES
ABUILMINGDDRESS �� V V
FEE
a d
NUMBER EACH
LOCALITY
LIGHT OUTLETS
NEAREST
RECEPTACLES
CROSS ST. .
WALL SWITCHES �p
FIXTURES
TOTAL OUTLETS
OWNER
Sc $
ELEC. RANGES 25
MAIL O
ADDRESS
SUPPLEMENTARY
r� ,
ELEC. HEATERS 28
�
FIXTURES 5
CITY TEL. NO.
MISC.
1 HEREBY ACKNOWLEDGE AT I HAVE READ THIS
NUMBER OF LIGHT CIRCUITS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
TOTAL FEE
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
NuMaBR HORSEPOWER FEE
ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
New MVD. HP ovER INC. EACH
OF THE RESIDENTI PROPERTY DESCR ED ABOVE.
1/2 8 LESS $ .25
P
SIGNATURE OF 4 -
'/2 2 .50
PERMITT
2 s 1. oo
`INSPECTION
5 is 1.50
is so 2.50
tt
I� t�� j5�( S��✓ G2 ,� re c:., C.L.n.� .t c�
so 200 5.00
_.
200 500 10.00
1
�� ;�Le< A ��ti� � �L��. R•,. ��c.. ._
500 1000 15.00
OVER 1000 20.00
�
M.G. scr/FREQ. CHANGER -HP
WBLDER9• AC-KVA
GENERATORS - KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORI(;.)
MISC.
SIGNS
TRANS.
�
I
APPROVALS
NO. NO. LAMPS
FOR EACH PRRMITs
DATE
INSPECTOR'S NAME
WIRING
$1.00 (�
CONDUIT
FIXTURES
$1.00 /.
WIRING✓
-
SUPPLEMENTARY
.50
FIXTURES
POWER
TOTAL FEE
$ ,..T—
V,
UTILITY CO. NOTIFIED
12 1
)
FINAI,
R l.•
76A 063 DBS# 5A. 4-52
I
5