HomeMy Public PortalAbout5843 ALESSANDRO AVE_Electrical__ 76A663 CE806 3 69
APPLICATION FOR ELECT L P RMI
COUNTY OF LOS ANGELES �� C�
DEPARTMENT OF COUNTY ENGINEER
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BUILDING AND SAFETY DIVISION BUILDING
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DDRESS
JOHN A LAMBIE COUNTY ENGINEER
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COLEMAN W JENKINS SUPERINTENDENT OF BUILDINGLOCALITY
FOR APPLICANT TO FILL IN EAREST
CROSS ST
NO }EACH FEE �/
4$ $ OWNER (lN1/ Q e
RECEIPT MAIL
ADDRESS (�
LIGHT TOTAL FIRST 20 1 20
SWITCH OVER 20 7 10 CITY Qi(/� r� TEL NO
PLAN CHECK
LIGHTING 1 TO��JT/pL FIRST 20 20 APPLICANT
FIXTURES J} / OVER 20 W 10 ADDRESS
RANGE_DRYER_WTR HTR
CITY TEL NO
STA COOK_DISP _F A U CONTRALTO
SPACE HTR AIR COND ADDRESS ` �J
CLOTHES WASH DISHWASH CIT TEL NO S
FAN_OTHER �1 00 LICENSE N oloZ p CLASS
MOTORS TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND HEATERS ETC HP KW KVA AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
O - 1 �y1 00 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
..ICENSEO AS REQUIRED 8V LOS ANGELES COUNTY AND STATE OF `
1 - 10 3 oO CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO a
RESIDE IN THE ABOVE DESC BED RESIDENTIAL PROPERTY 1 C
10 - 50 5 00 U
� SIGNATURE � ad
- 100 10Ao OF PERMITTEE O
IOD - SOO 11500 DISTRICT NO Q GROUP Z E P SED BY
SIGN GAS SIGN AND ONE CIRCUIT 3 00 �� 1+ —� y
TUBE OR p Z
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES
1
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
Y
TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTORS SIGNATURE 1
/pQ&je�y TEMP POWER POLE
/` /� 4AS tl UNDERSLAB WORK
Q ROUGH CONDUIT
N
WIRING ?o 1
PERMIT FEE (SUB TOTAL) FIXTURES
I POWER AUTHORIZED
PLAN CHECK FEE (507 PERMIT FEE) {
PERMIT ISSUING FEE 2 00UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL 7- O
r
TOTAL FEE f d.�� JOSEPH C ROOHAN
V SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK i M O CASH PERMIT VALIDATION CK M 0 CASH
f 1rArl^ 5 30 2 D 5.0,0- Q
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SEE BACK OF APPLICATION FOR COMPI FTF FFE BCH Ef11JLE