HomeMy Public PortalAbout5945 ALESSANDRO AVE_Electrical__ i
76A863 CE 806 NF 6/78 hs
APPLICA F R ELECTRI RMIT
COUNTY OF LOS ANGELES BUILDING AND S ETY �
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs &Pools EACH NO FEE ADDRESS
1 &2 Family Sq Ft $ — $ LOCALITY �,y C
Multi family Sq Ft — NEAREST /
CROSS ST
Residential Swimming Pools OWNER OR
FIRM NAME
Outlets Rec Light Sw MAIL
l ADDRESS
First 20
Total No Additional CITY Tel No :
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 ADDRESS
Total No Additional
CITY Tel No
Fixed Appliances Not Over 1 HP PERMIT
Range_Heater_D W
APPLICANT G & S ELECTRIC
Oven—Dryer_W M— ADDRESS 531 S. Atlahtac Blvd.
Top _FAU _W H CITYt CV Tel No
Hood_Fan —Other MonLICENSE OR
Disp _Room Air Cond REG NUMBER 248057 Class C-10
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
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 EGISTERED AND/OR
Over 1 to 10 Incl LICENSED AS REQUIRED BY S ANGELES CO NTY AND STATE OF V
CALIFORNIA OR THAT THE LEG L O PER OF T E ABOVE at
Over 1 0 to 50 Incl DESCRIBED RESIDENTI Y12WPERTY 0
Over 50 to-100 Inc
PERMIT EE �
Over 100 SIGNATURE
Vl
Services DISTRICT NO PRO B
0 200 Amp Under 600 V
201 1000 Amp Under 600 V
Over 1000 Amp or Over 600 V Z
O -
Temp Power Pole&Appurtenances Q
Sign with One Branch Circuit
Additional Sign Branch Circuits INSPECTION >
INFORMATION
Misc Conduits&Conductors ON REVERSE i
Other(See Complete Fee Schedul'e) SIDE v # 8 2 C
Z C
3
d
2oa1950
PERMIT FEE (Sub Total)
PLAN CHECKING FEE (One Fourth Permit Feel 7ePa z 0 0 0 1 9 5 0 5
PERMIT ISSUING FEE �v S G 061 9-80
J
TOTAL FEE >
INSPECTION FINALED
date / By V//—`J �-�..1 / es
t