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HomeMy Public PortalAbout10144, 10128 BOGUE ST_Electrical_5/20/1977 76A663C 7 C8115,21 12,75 APP-LICATION FOR ELECTRICAL PERMIT .. '� G I7"y vF D BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JOB ADDRESS �T 7 �� Q New Residential Bldgs.& Pools EACH NO. FEE 1 &2 Finaily Sq. Ft. $ — $ LOCALITY %1� C)T Multi-family Sq. Ft. — NEAREST CROSS ST. 6-A . '^ w000 Residential Swimming Pools OWNER OR �r " �r FIRM'NAME C 7 D� y C �T Outlets: Light,Switch& Receptacle �n MAIL � yl ' First 20 Q W ADDRESS �(. Additional CITY Tel No. PLAN CHECK APPLICANT Lighting Fixtures First 20 �0 ao Q© ADDRESS Additional —►`� CITY Tel No PERMIT Fixed Appliances Not Over 1 HP APPLICANT L ec." Range_ Heater_ D.W. ADDRESSo (� Oven Dryer W.M. 700/,t- `''^^/ Top FAU W.H. CITY . 00/,t Tel. No Hood Fan LICENSE OR - �^ Q sJl� REG. NUMBER J (J Class. Disp. A.C. c') 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I ELECTRICAL WIRING. Size&Type HP, KW, KVA,or KVAR LLI v � Up to 1 Incl. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPER Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE DISTRICT NO. PROCESSED BY Services 5" o Z oZ 0-200 Amp. Under 600 V J� 201 - 1000 Amp. Under 600 V APPROVALS DATE INSPECTOR'S Over 1000 Amp. or Over 600 V SIGNATURE TEMP POWER POLE Temp. Power Pole& Appurtenances UNDERSLAB WORK Sign with One Branch Circuit ROUGH CONDUIT Additional Sign Branch Circuits (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITYCO NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE NOTES TOTAL FEE PLAN CHECK VALIDATI N pKq SH_ PERM T Lp4TION CK M O. CASH 4 4'1 1AY 40 Q ♦Li 3 - II