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HomeMy Public PortalAbout10144, 10128 BOGUE ST_Electrical_2/2/1977 •76A663C_ CE806B•12/75 - APPLICATION FOR ELECTRICAL PERMIT BUIL AND SAFETY DIISIZ/1,11-1f ON 1 FOR APPLICANT TO FILL IN 'JOB /JL{ EACH NO. .,FEE ADDRESS 1, 1 0 rReesidentiall Bldgs.&Pools Sq. Ft. $ — $ LOCALITYTSq. Ft. — NEARESTCROSSSTimming Pools OWNER OR FIRM NAMEe : ig ,Switch &Receptacle MAI L First 20 ADDRESS Additional CITY Tel No PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel. No. PERMIT 7"' Fixed Appliances Not Over 1 HP APPLICANT Li7"y �7c4.L! •�j Range_ Heater_ D.W. ADDRESS 7Cf�Al, /'ZWXc/„ Oven Dryer W.M.' Top FAU W.H. CITY „ G Tel. NoasJ�''�6a� Hood Fan LICENSE OR �} ` REG. NUMBER 'Id) J/Q 3 Class.Gr/y Disp. A.C. v 1 1 HEREBY ACKNOWLEDGE THAT I 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 Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. LIJ w Up to 1 Incl. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR N Z Over 1 to 10 Incl. LICENSED AS REQUIRED BYLOS ANGE S COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE L A OWNER OF THE ABOVE Over 10 to 50 Incl. DESCRIBED RES] IAL P RT Over 50 to 100 Incl. PERMITEE f� Over 100 SIGNATURE DISTRICT NO ROCE SESDIB�� Services0-200 Amp. Under 600 Vi' 201 - 1000 Amp. Under 600 VAPPROVALS 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) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) 2S 77 FINAL PERMIT ISSUING FEE NOTES TOTAL FEE PLAN NNACjHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 69N/�FQ Z."� 0^R ,©Q Jv