HomeMy Public PortalAbout5941 AVON AVE_Electrical_4/20/1965_light fixtures 76A663-CE$0610/72 APPUCAMN FOR ELECT AL PERNU .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER EWO
BUILDING AND-SAFETY DIVISION _ �' 61_0
Y
FOR APPLICANT TO FILL IN T.
OUTLETS N0. EACH FEE
$ $ FIRM NAME LcV
RECEPT. MAIL �.
FIRST 20 ADDRESS -
LLGHT TOTAL �
j CITY TEL. NO.
SWITCH_ OVER 20 ,10 /
PLAN CHECK
FIRST 201-/. /+) APPLICANT
LIGHTING TOTAL' .25 v
FIXTURES .10
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYERWTR. HTR._ APPLICANT46t 'ZU
STA. COOK DISP. F.A.U. ADDRESS fj/✓II
SPACE HTR. I AIR COND. - CITY •e TEL. NO.
CLOTHES WASH. DISHWAS'H: LICENSE TDR CLASS. -�
REG. NUMBER
FAN OTHER - 1.00 ' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS APPLICATION
AND STATE THAT THE ABOVE [$,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 IN TYPE OVER TO
I.HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LIC ENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI' I AM THE LEGAL OWNER X THE ABOVE r
1 - 10 3.00 OESCRIf.ED RESIDENTIAL PR PERT d
PERMITEE rJ
10 - 50 5.00 SIGNATURE
O
50 - 100 10.00 1-
DISTRICT NO. P SS BY W
100 - 500 t 5.00 en
e'
Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATECl/ INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE -
SERVICENOTOVER 600VOLTS OR200Amp 3.00 UNDERSLAB WORK
SER'VICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMP,SERVICE,POLE, &APPURTENANCES 5.00 - WIRING• -3-161-7,41 �
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) / 5 NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE 1,5. 0 -S
PLAN CHECK VALIDATION CK. M.O. CASH P.ERIMIT VALIDATION CK. M.0. cnsH
Com' ;
658iMa4l_ 2 0 15.0 5
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE