HomeMy WebLinkAbout4110 C St - Building
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.tOTAL FEE'
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FEE RECEIPT NUMBER
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LEGAL OCCUPANCY
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Site Add.ress
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Owner
Owner's Address'
Installation By
Installers Address
Day Phone Installers Phone 0
Application IS here Y made for Permit to inst'lll Electrical Equipment as follows: ,fcN(e.. &-L r2 0T :5 ff;fC,
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NUMBER AMP 240V NUMBER AMP 120V 240V /
USE OF CIRCUIT PER 120V 100R FEE USE OF CIRCUIT PER, 100R ,FEE, )
CIRCUITS CIA \", 10 ....30 \ CIRCUITS '-QIR ,.3,' 10 '30 '" ','
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LIGHT '.:5 I~ SIGN ,.
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.- .. . 50 VOLTS , ,
LIGHT , ,. , ,'. , OR lESS " , ( " . .
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CONVENIENCE6fl 20 V- -
I MOTOR
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CONVENIENCE ;) IS ./ MOTOR
APPLIANCE .~ ;20 V MOTOR. .
DISHWASHER I ':;0 .l,/" FIRE ALARMS .-
DISPOSAL - BURGLAR ALARM
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RANGE I 50 v MISC.
OVEN -
WATER HEATER I 30 .....,.
LAUNDRY
DRYER .- / 50 .......-- REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE .-
GAS. OIL -
FURNACE ENERGY FEE
ELECTRIC ~ .-
BASIC FEE
ELECTRIC HEAT I 50 ...--
TOTAL FEE
ELECTRIC HEAT ~ 20 ..-:- SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT - 2 0(') AMP I .f2J PHASE
FEEDER - SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE - I.J /0 AW.G.
I SUB-TOTAL ,
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to b~ performed ITder thispermit will be done bY. the install."r and inJlrma~Zhe N:E. Electrical Code.
Date Application made . A .+ / ~ ,19.J!..f- By
. hL ., l CONi~~OR OWNER (OR A~RIZED AGENT) .
. Permission is h~reby given to do th above described work, according to the conditions hereo nd accor9ing to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of P.Qrt ngeles.' . .
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WARNING
By
PLANS APPROVE
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Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not.
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
TOR OF CITY LIGHT
._ Date Permit Issued
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
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DATE OF VIS!T
tf:~J 6--01
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MADE BY
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REPORT OF INSPECTOR
REMARKS
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O.K. FOR COVERING
O.K.~O CONNECT SERVICE
'FINAI:O.K.
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