HomeMy WebLinkAbout3124 Regent St - Building
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FEE Ri CEIPT NUMBER
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CITY OF PORT ANGE;LES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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TOTAL FEE
38~
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CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMfTQNLY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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PERMITS WI H WRONG ADDAES~,ES ARE CANCE~LE _
Owner Installation By ~ ~ :.; , _
Installers Address . <I - G . ~ /8P P
Day Pho~e Installers Phone ?, f?'?- t:, f? /9
Application is hereby made for Permit to install Electrical Equipment as follows:
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Wiring Method Jf!J. /
NUMBER AMP. 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 . CIRCUITS CIA 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLI.A,NCE MOTOR
,
DISHWASHER FI AE ALAAMS
DISPO \AL BURGLAR ALARM
RANGE; MISC.
OVEN
WATEF: HEATER
LAUN(HY
DRYEP V '\ REINSTALLATION LIGHT FIXTURE #
FUAN~~E / -? "@{J t(/ 7 SUB TOTAL FEE
GAS.!. IL
FURN/CE ( r ' .--- ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT ............ 1'-
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. Uf~IT ::La v AMP / PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE ~ t.Jh, .;.y;, AW,G.
I SUB-TOTAL SIZE OF GROUND~ 4 S'Z~F ENYRANCE SWITCH
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I certif~ that the work to be performed under this permit will be done by the installer and in c
DateAI'plicationmade ' '. (]) J; OJ- 7' ,19 O~ By
Electrical Code.
.
Date p( rmlt Issued
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Pe 'mission is hereby given to do the above described work, according to the conditio s hereon and according to the approved plans and
specifil1atlons pertaining thereto, subject to compliance with the Ordmances f e City of Port nge
~IR R
IV.2f!fl ~ZANSA P OVED
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 Ex!. 158.
~RNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE - Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
nl YMP1I PRINTERS INf::
REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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ro ..,\' .~ ~ :-- O.K. FOR COVERING
ro ''1.,1 ~L. \. ,r O.K. TO CONNECT SERVICE
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( f /1./ f1 JJ J' .-:.:;, . FINAL O.K. " ,
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