HomeMy Public PortalAbout10685 ARROWOOD ST_Electrical_8/28/1972_light outlets and fixtures 76A66A3-CE806`1 I-71 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDRESS Q (¢06- d Zd/ G eo( ,
LOCALITY' "ran a4NEARE {{ /�
FOR APPLICANT TO FILL IN CROSS ST. .17,44
OUTLETS NO. EACH FEE
RECEPT. * $ $ MAIL IL
FIRST 20 ADDRESS ,
LIGHT �/ 25 CITY TEL. N0.
SWITCH OVER ay 20 .10
PLAN CHECK
LIGHTINGTOTAL ��-JJ FIRST 20 25 C0 APPLICANT
FIXTURES d) I
OVER 20 ADDRESS
.10
RESIDENTIAL APPLIANCES CITY TEL. NO.
�CV
RANGE DRYERX PERMITWTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR, AIR COND. CITY TEL, NO.
CLOTHES WASH.-9, _DISHWASH. LICENSE NO. CLASS.
FAN OTHER 1.00 I 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF a
CALIFORNIA OR THAT I AM.THE LEGAL OWNER OF, AND INTEND TO O
1 - 1O 3.00 RESIDE IN, THE ABOVE DESCRIBED ZIDENT I PROPERTY:
V
SIGNATURE .
10 - 50 5.00 OF PERMITYEE O
50 100 10.001
DISTRICT hl�]. .ASS Z O(NZ
11Z I PRO SED BY W
100 - 500 15.00 ll,,lllff �-
H
SIGN, GAS =AND ONE CIRCUIT 5.00 NOTES: Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
4
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED -
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.00
TOTAL FEEQ
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDA CK. M.O. CASH
1 A LALO „ 5 _, AUG 2 a 2 D Q M
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE