HomeMy Public PortalAbout4827 ALESSANDRO AVE_Electrical__ 76A663 CE 806 NF 6/78 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING A D SAFETY
FOR APPLICANT TO FILL IN JOB -7
New Residential Bldgs &Pools EACH NO FEE ADDRESS C/f
1 &2 Family Sq Ft $ — $ LOCALITY ��(/��
Multi family Sq Ft — NEAREST yyaz��+�
CROSS ST c—!1 �7
Residential Swimming Pools OWNER OR
FIRM NAME I !J �^
Outlets Rec�Light Z Sw
First 20 ADDRESS � / A
Total No � Additional CITY /✓ Tel No
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 ADDRESS
Total No— 171— Additional CITY (�j' Tel Note All
Fixed Appliances Not Over 1 HP PERMIT t
APPLICANT
Range_Heater_D W J
Oven_Dryer_W M— ADDRESS 7P � X
Top _FAU _WH CITY � Tel No
Hood—Fan Other_ LICENSE OR p
Disp —Room Air Cond REG NUMBER 6. Class
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL CA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING ELECTRICAL WIRING
Up to 1 Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0
Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V
Over 1010 50 Incl CALIFORNIA OR THAT I AM THE LEGAL OWNER OF ABOVE 01
DESCRIBED RESIrek-1--
L PROPERTY 0
Over 50 to 100 Inc 9
PERMITEE saeOver100 SIGNATURE
Services DISTRICT NO PR CE EDB Z
0 200 Amp Under 600V V 0,V
201 1000 Amp Under 600 V
Over 1000 Amp or Over 600 V
Temp Power Pole&Appurtenances 6 C S a S3
Sign with One Branch Circuit �p
Additional Sign Branch Circuits INSPECTION >
INFORMATION
Misc Conduits&Conductors ON REVERSE _
Other(See Complete Fee Schedule) SIDE " 2 5 3 3 7 A
2
g # 0 0�0 d0 2
203200
PERMIT FEE (Sub Total)
Z `010 032006
PLAN CHECKING FEE (One Fourth Permit Fee) O
PERMIT ISSUING FEE o 0 0 9—7 9
J
Q
TOTAL FEE 3 >
INSPECTION FINALED W
date ` By�� eJ Iry __® ts