HomeMy Public PortalAbout10144 BOGUE ST_Electrical_12/19/1975 . 1
76A663C- CES068 12,75 APPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN / nn � //
FRdmential Bldgs. & Pools EACH NO. FEE ADDRESS /�� Be � sT bll
aily Sq. Ft. $ — $ LOCALITY ��/ //�ily Sq. Ft. — NEARESTal Swimming Pools CROSS ST6FO RM NAME �ht, Switch& Receptacle ADDRESSal CITY �(��g / rLl Tel. No.
PLAN CHECK /J/ .
APPLICANT i I /3!
Lighting Fixtures
First 20 ADDRES/S��'
Additional CITY / ��Z, t-A'� Tel. No. 215 �� 7
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range Heater_ D.W. ADDRESS
Oven Dryer W.M.
Top FAU W.H. CITY Tel No
Hood Fan LICENSE OR
REG NUMBER Class.
Disp. A.C. v
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING O
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. LLJ
Up to 1 InCI. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR N
1 Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF z
C CALIFORNIA OR THAT 1 A THE LEGAL OWNER OF THE ABOVE
/ Over 10 to 50 Incl. OE SCRIBED RESIDENTIAL OPE Y.
Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATURE '�!�
DISTRICT NO. PR CES D BY
Services ���u
0-'200 Amp. Under 600 V C/ /
201 - 1000 Amp. Under 600 V APPROVALS DAVE INSPECTOR'S
kTemp. Power
00 Amp.or Over 600 V I' SIGNATURE
TEMP. POWER POLE B
wer Pole& Appurtenances UNDERSLAB WORK
One Branch CircuitROUGH CONDUITl SigriBranch Circuits WIRINGFIXTURES 01POWER AUTHORIZED
FEE (Sub-Total) UTILITY CO.NOTIFIED !ZECKING FEE (One-Fourth Permit Fee) FINAL ISSUING FEENOTES
FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M 0. CASH