HomeMy Public PortalAbout10144 BOGUE ST_Electrical_7/24/1976 76A663-CE606 I0,74 APPLICATION FOR ELECTRICAL PERMIT ,
�- COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY L�3 -17
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO EACH I FEE OWNER OR �y
FIRM NAME
RECEPT._ S $
MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
CITY TEL. NO.
SWITCH OVER 20 10
PLANCHECK _
LIGHTING FIRST 20 25 APPLICANT
TOTAL
ADDRESS y�
FIXTURES OVER 20 10 IL
RESIDENTIAL APPLIANCES CITY ` TEL. N0.
PERMIT
RANGE DRYER-WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR, AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR
REG, NUMBER CLASS.
FAN 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 W IT 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
0 - 1 100 LICENSED AS RED IRED -BY LOS ANGELES COUNTY AND STATE OF >_CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE p..
1 - 10 300 DE SCRIPED RESIDENTIAL PROPERTY. U
PERMITEE
10 - 50 500 SIGNATURE 0
50 - 100 1000 U
DISTRICT NO. PROC SSED BY
E d
100 - 500 1500 U Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPE R'S SIGNATUR
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING
TEMP LIGHT 0 RECEPT. SYS EM 00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERM E (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VA LI TION � CK. M�cAs/H _ PERMIT VALIDATION CK. M.O CASH
-207rI!I'm 24U D t ,00 '&='c
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ,