HomeMy Public PortalAbout5317 ALESSANDRO AVE_Electrical__ 76A663 CES06 10/74 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB LIA
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY tEmot-E
G
NEAREST
FOR APPLICANT TO FILL IN CROSS ST /0L
OUTLETS NO EACH FEE OER OR
F N NAME V i— G
RECEPT 10— $ $ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS- L- 6
OVER 20 CIT l,r G TEL NO
SWITCH_ -- PLAN PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT /
FIXTURES
OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER WTR HTR_ APPLICANT
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH DISHWASH LICENSE OR
REG NUMBER CLASS
FAN OTHER 100 /70 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 & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL WNER OF THE ABOVE
1 — 10 300 DESCRIPED RESIDENTIAL PROPERTY CD
V
10 — 50 500 PERMITEESIGNATURE I C3
F-
50 — 100 1000 v
DISTR NO P ESSED BY W
CL
100 — 500 t o 00 Z
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR S SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
i
SERVI CENOT OVER 600 VOLTS OR 200 AMP / 300 Q UNDER WORK ���Q�75 5:
SERVICEOVER600VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL Q� 7
PERMIT FEE (SUB TOTAL) NOTES ►J '� �j��utlGFi B
PLAN CHECK FEE Zq
PERMIT ISSUING FEE 300 O
TOTAL FEE ('
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDA-TION{ cK M o CASH
248rnrT -'1 2 D 850A; '
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE