HomeMy Public PortalAbout10053 BOGUE ST_Electrical_6/19/1973 76A663-CE806 1 1-71 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF,LOS ANGELES
DEPARTMENT'OF COUNTY ENGINEER f:ss
NG
BUILDING AND SAFETY DIVISION Q 4
ITY Lklk C vri 9A
STFOR APPLICANT TO FILL IN ST.
OUTLETS NO. EACH FEE
OWNER c--
-
41)
RECEPT._ ADDRESS '�0�1
LIGHT TOTAL Ig_
FIRST 20 25
CITY LJE L". TEL. NO.�
SWITCH_ OVER 20 10
PLAN CHECK
LIGHTINGTOTAL FIRST 20 25 I APPLICANT
`
FIXTURES
OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR, AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. 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 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
0 - 1 100 LICENSED AS RED U IRED BY LOS ANGELES Coc TY AND STATE OF d
CALIFORNIA OR THAT I AM TH LEGAL O E OF, AND INTE O
1 - 10 300 RESIDE IN, THE V SCRIBED RE DENT I AL PROPER
U
10 - 50SOG SIGNATURE
OF PERMITT _ O
50 - 100 1000u
DISTRICT NO. .ASS ZON R SSED BY W
100 - 500 1500 ore, P d
H
SIGN, GAS Z
SIGN AND ONE CIRCUIT 500 NOTES: - r�� C�•D �1 A�
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 l--R0OwD "A-AiR
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 -3 oO 4-A91,-1_ AW6
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 300
ROUGH CONDIUT
WIRING
FIXTURES
y
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 300
TOTAL FEE V`�
PLAN CHECK VALIDATION CK. M O CASH PERM UIDATION CK.. M.O. CASH
7 4 773• .1 19 2 D 6.00A Q
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE