HomeMy Public PortalAbout10144, 10128 BOGUE ST_Electrical_1/2/1973 6A663��%E86 *1-TI APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER TADDRESS
BUILDING AND SAFETY- DIVISION FOR APPLICANT TO FILL IN
OUTLETS NO EACH FEE i
$ $ OWNER
RECEPT. MAIL
LIGHT1* TO L
FIRST 20 ZS � ADDRESS
CITY TEL. N0.
SWITCH OVER 20 10
PLAN CHECK
APPLICANT
TOTAL
LIGHTING FIRST 20 ZS
OVER 20 ADDRESS
FIXTURES .10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS,
7 �
SPACE HTR. AIR COND. CITY NO.
CLOTHES WASH. DISHWASH. LICENSE NO. ;2 ,_75;P5—
CLASS, �!
FAN 6 OTHER 100 1 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
/ O - 1 100 J /y LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
v CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO O
1 - 1O 300 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROP TY.
V a'
SIGNATURE
10 - 50 500 OF PERMITTEE O
50 - 100 1000
DISTRICT NO. CLASS ZONE PROCESSED BY
W
100 - 500 1500 a
• �
SIGN, GAS =SIGN ONE CIRCUIT 5.00 NOTES: Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200 AMP 300
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CEOVER 600 VOLTS OR 200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 300
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
�� S
PERMIT ISSUING FEE 3.00 FINAL
TOTAL FEE .7
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDA_T_ N M.O. CASH'
Lro `? 3 S 1 .( JAJ 2 2 D 4.5 0^
'SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE