HomeMy Public PortalAbout5954 ALESSANDRO AVE_Electrical__ C�j.,s-per
76A663 CE806 12/75 _TEMPLE CITY
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
ADDRESS 5954 Alessandro �•'�—
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN LOCALITY Temple Cit
Vew Residential Bldgs & Pools EACH NO FEE NEAREST
1 & 2 Family Sq Ft $ 025 - $ CROSS ST Woodruff
OWNER OR
Multi family Sq Ft 02 — FIRM NAME Murry
Residential Swimming Pools 2000 MAIL
ADDRESS Same
cutlets Light Switch & Receptacle 3 CITY Tel No '
First 20 50 9 PLAN CHECK
Additional 30 APPLICANT
ADDRESS
_fighting Fixtures
First 20 1 50 2 CITY Tel-No
Additional 30 PERMIT
APPLICANT Warr Elect
=fixed Appliances Not Over 1 HP ADDRESS 15834 Workman
Range_Heater D W
Oven_Dryer_W M _ clrYLa Puente Tel No 333-5918
Top FAU WH LICENSE ORREG NUMBER 2(}921Q Class C-]Q
Hood_XFan
IHEHEBI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
Disp_XA C ___ 200 3 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
'ower Apparatus& Large Appliances ELECTRICAL WIRING
Size & Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
h
(/ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Up t0 1 Incl 2 00 v CALIFORNIA OR THAI I AM THf LEGAL OWOER OF THE ABOVE
— Over 1 to 10 Incl
5 00 OESfRIrED
;R:E:S�D�E/�PROP RTY G
Over 10 to 50 Incl 1000 PERMITEE V
Over 50 to 100 Incl 2000 SIGNATUREVf
Over 100 30 00DISTRICT _ P SSED BY O
iervices , W
0 200 Amp Under 600 V 1250 1 INSP CTOR S G.
201 1000 Amp Under 600 V 25 00 APPROVALS DATE SIGNATURE Vf
Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE
Temp Power Pole& Appurtenances 1000 UNDERSLAB WORK
;ign with One Branch Circuit 1000 ROUGH CONDUIT
kdditional Sign Branch Circuits 200 WIRING
Other)
FIXTURES
POWER At
UTILITY CO NOTIFIED
FINAL t -77 1 /
'ERMIT FEE (Sub Total) NOTES C 6 r> Oe
'LAN CHECKING FEE (One Fourth Permit Fee) �L
'ERMIT ISSUING FEE
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FOTAL FEE
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK MO CASH
~ 822C,ftj 6 2 0 / 22.40A,98
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE V
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