HomeMy Public PortalAbout10144, 10128 BOGUE ST_Electrical_8/23/1976 76A663A-CEB06A 4/72 APPLICATION FOR EL CTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITYJY l
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO -EACHI FEE
OWNER
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20 ADDRESS
CITY TEL. NO.
SWITCH OVER 20
PLAN CHECK
LIGHTING TOTAL FIRST 20 APPLICANT
FIXTURES
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
.RANGE DRYER_WTR. HTR. PERM
APPLIIT
CANT
STA. COOK DISP. F.A.U. ADDRESS 9
SPACE HTR. AIR COND. CITY 6C2j TEL.YNO.a
CLOTHES WASH. DISHWASH. LICENSE NO. 3 AA P.� CLASS.
FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY C:)MOTORS, TRANSFORMERS RATING W ITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING C.2
IND HEATERS, ETC HP KW. KVA. ELECTRICAL WIRING. �a
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR F.
0 — 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF W
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO LL
RESIDE IN, THE ABOVE DE RIP,ED RESIDENTIAL ROPERTY. Z
10 - 50 SIGNATURE
OF PERMITTE ^
50 - 100
DISTRICTNO. CLASS ZO E 1 P CESS Y
100 - 500
SIGN, GAS SIGN AND ONE CIRCUIT NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICE NOT OVER 600 VOLTS OR 200 AMP
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AMP ,
TEMP.POWER POLE
TEMP SERVICE, POLE, &APPURTENANCES f
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTOrrY CO. NOTIFIED _
PLAN CHECK FEE 1
FINAL
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION CK. M 0 CASH PERMIT VALIDATION CK. M.O. CASH'
Pe. 8 3' so
71 23 $9, 0 .00 '&qtj