HomeMy Public PortalAbout5836 ALESSANDRO AVE_Electrical__ 76A663C CE:"68 12,75 APPLICATION FOR ELECTR CAL PERMIT
BUILDING D SAFETY !DIVISI
FOR APPLICANT TO FILL IN '0B
EACH NO FEE ADDRESS
rResidential
Bldgs & Pools -�^
Sq Ft $ — $ LOCALITY /
q Ft — NEAREST / l
eo
imming Pools CROSS ST Z q:s LL/u/OS `� A)Z
OWNER / VE
FIRM NAME i �7v�/ J
Outlets Light Switch& Receptacle /1 MAI L
First 20 v ADDRESS
Additional CITY Tel No
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY Tel No - 1
PER I T F�.it/!7�C.S N /�
Fixed Appliances Not Over 1 HP APPLICANT c
Range Heater— D W / z
ADDRESS
Oven Dryer W M /
Top FAU W H CITY S Tel No l-97 /��
Hood Fan
Disp __� A C I SO �— 3 O(} RECG NUMEE Class G'J OU
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 0
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY i--
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING u.l
Size&Type HP KW KVA or KVAR ELECTRICAL WIRING N
Up to 1 Incl Z
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl DESCRIBED RESIDENTIAL PROPERTY
Over 50 to 100 Incl PERMITEE
Over 100 SIGNATOR
DISTRICT NO OCE S ED BY
Services �^ v 6Q t
0 200 Amp Under 600 V
201 1000 Amp Under 600 V APPROVALS DATE INSP TOR'S
Over 1000 Amp or Over 600 V SIG ATURE
TEMP POWER POLE
Temp Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING —7
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub Total) UTILITY CO NOTIFIED
PLAN CHECKING FEE (One Fourth Permit Fee) FINAL J 7/
PERMIT ISSUING FEE
TOTAL FEE NOTES
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION M O CASH
5 3 5 NE 8 U `1 V
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