HomeMy Public PortalAbout5727 ALESSANDRO AVE_Electrical__ 76A663 CE606 10/74 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB —7
BUILDING AND SAFETY DIVISION ADDRESS 2, / C_5,S (NSD �g
a LOCALITY l7e t t
NEAREST C
FOR APPLICANT TO FILL IN CROSS ST � � 1 j
OUTLETS NO EACH FEE OF RM NAME /iV Q V
RECEPT_ $ $ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS 6 ' j-,*-i.,_ v v
f
CITYi1 TEL NO
SWITCH OVER 20 10
PLAN CHECK
LIGHTING l TOTAL ��O
IRST 20 Zy APPLICANT
FIXTURES
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VER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT � Lllt�
RANGE DRYER—WTR HTR_ APPLICANT O VCf 1
STA COOK DISP F A U ADDRESS f$4,3 1l'jjSj1�jlj jO r
SPACE HTR AIR CON CITY 120),C 14. ea TEL NO
CLOTHES WASH DISHWASH LICENSE OR �_L1 ! Z U`
REG NUMBER V CLASS�'�
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 & TYPE OVER TO
1 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
//TL D — 1 100 LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF r
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE CL
1 — 10 300 DESCRIPED RESIDENTIAL PROPEgTY p
Z "7
10 — 50 S00 PERMITEE l/"1Ti m
SIGNATURE O
F-
50 — 100 1 o oo
DISTRICT NO
P CES BY
100 - 500 1500
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS INSPECTOR S SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICE NOTOVER600VOLTS OR200AMP 300 UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL Z77
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 —'71'so
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH
356� Nt Id9 2 0 10.5QA5x
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ``/ /