HomeMy Public PortalAbout4820 ALESSANDRO AVE_Electrical__ 76A663 CES06 10/74 APPLICATION FOR ELECTRICAL PERMIT
a- CO%NTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS 4820 A1lessandr0
LOCALITY Temple City
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE OWNER OR
$ $ FIRM NAME lis
Aryl
RECEPT_ MAIL
ADDRESS -4820 Alessandro
LIGHT TOTAL FIRST 20 25
CITY Temple City TEL NO
SWITCH OVER 20 ID
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
OVER 20 ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES CITY _ w _-TEL NO
PERMIT
RANGE DRYER_WTR HTR_ APPLICANT Q ,•
STA COOK DISP F A U ADDRESS 884 8843 MiSsion DR3,9e
SPACE HTR AIR COND CITY RASexmead '�/77O TEL NO 260-4260
CLOTHES WASH DISHWASH LICENSE OR L CLASS
REG NUMBER v10
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE IN TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
^ O - 1 100 / LICENSED S REQUIRED BY LOS A OELES OUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE EGAL ER OF THE ABOVE a
1 - 1O 300 DESCRIPED E ENT L PROPS Y O
U
PERMITE
10 - 50 500 SIGNATU E
50 - 100 1000 UDISTRICT NO PRO ED BY LLI
100 - 500 1500 I ) 1 i/ e l '�L.� Z
ell
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS (l DATES INSPECTOR SIGNATURE
TUBE OR '/
MARQUEE ADDITIONAL CIRCUITS 100 T'7 TEMP POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 300 UNDERSLAB WORK
SERVICEOVER600VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES ILI
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 600
TOTAL FEE UOW
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATIONcK M o CASH
20 2
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
or