HomeMy Public PortalAbout10144, 10128 BOGUE ST_Electrical_4/1/1978 76A663-CE606 10,74
APPLICATION FOR ELECl ��ICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRES,
BUILDING AND SAFETY DIVISION Jh,4 gf� Ark
ITY �dN Go
FOR APPLICANT TO FILL IN 7 NEARESST. n
(,)aVL. d06Gou0A6
OUTLETS NO EACH FEE OWNER OR r /
$ $ FIRM NAME dCO
RECEPT._ MAILq y 8 p d/V, So
LIGHT TOTAL
FIRST 20 25 ADDRESS / J a u �Q�
OVER 20 CITY „e �,�, TEL. N0.
SWITCH_ 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
OVER 20
'ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT �` r
RANGE DRYERWTR. HTR. APPLICANT d� I CLIITu �j O.
STA. COOK DI SP. F.A.U: ADDRESSp� S-}p/Er-{�00� ee
SPACE HTR. AIR COND. CITY L.4_ gQrbb--Q (.A TEL. NO.����I��p
CLOTHES WASH. DISHWASH. LICENSE OR
REG. NUMBER S�O9 CLASS.
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO 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 REG STERED AND/OR
G 0 - 1 100 LICENSED AS REOU IREO BY LOS ANGELES COUNJVY AND STATE OF a
S CALIFORNIA OR THAI I AM THE L OW OF THE ABOVE CD
r1hI&I _ � 1;,o) 1'- 10 40 DESCRIBED RES RO TY.
\dN' V
PERM ITE cc
10 - 50 500 SIGNATUR
F--
C.�
50 - 100 1000 L+J
DISTRICT
NNO. P ED BY 100 - 500 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTO SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE,
SERVICENOTOVER 600VOLTSOR200AMP 300 UNDERSLAB WORK
SERVICEOVER600 VOLTS OR200AMP 10.00do
ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 5.00WIRING
TEMP LIGHT OR RECEPT. SYSTEM 300FIXTURES
POWER.AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES: '
PLAN CHECK FEE PERMIT ISSUING FEE TOTAL FEE
PLAN CHECK-VALIDATION CK: M.O. CASH PERMIT VALIDATION CK M.O. CASH
1 1 2"n pR 1 2 91'.0 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
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