HomeMy Public PortalAbout10144, 10128 BOGUE ST_Electrical_5/20/1976 76A663-ES0610/74 APPLICATION FOR ELECTRICAL PERMIT .
'r' COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER gooREss
r, BUILDING AND SAFETY DIVISION
LOCALITY upc c.-A im
NEAREST s �
FOR APPLICANT TO FILL IN CROSS ST,�{� C�
OUTLETS 'NO EACHI FEE OWNER OR ( c
$ Is FIRM NAME C-.C,Q2�A��1��� A �A�i�
RECEPT._ MAIL nn
LIGHT TOTAL
FIRST 20 25 ADDRESS r
CITY 6 Jy "41 TEL. N0..7,8f1 '-
SWITCH_ OVER 20 10
PLAN CHECK
LIGHTING TOTAL
FIRST 20 .25 APPLICANT
FIXTURES
OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT �y
RANGE DRYERWTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS-3J31 L Com' Sl—
SPACE HTR. AIR COND. CITY f /� TEL. NO.,5;y/'41Y
CLOTHES WASH. DISHWASH. LICENSE OR
/, �Z. CLASS. C, / (�
REG. NUMBER
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAT11 ION
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 B LOS ANGELES COUNTY AND STATE OF },
CALIFORNIA OR THAI I THE LEGAL OWNER OF THE ABOVE CL
1 - 10 300 DES GRIPED RESIDEN AL OPERT �
U
PERMITEE
10 - 50 500 SIGNATURE
U
50 - 100 1000 W
DISTRICT NO. PROCESSED BY rL
n N
1 00 - 500 1500 C'499--i
V 9-- ` , I'm
-
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVICE NOT OVER 600 VOLTS OR 200 AMP 3 0 UNDERSLAB WORK .
SERVICEOVER 600VOLTS OR200AMP 1 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 500 WIRING -
TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES -
POWER AUTHORIZED
_ UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES: tV
PLAN CHECK FEE ��C GCS1/(�
PERMIT ISSUING FEE Ar9 v'�•��2 V/G{v. �l,Njl �j`_ (�,,�'� _
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION c M 0. CASH'
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -
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