HomeMy Public PortalAbout9059 ACASO DR_Electrical_8/31/1972 'q
L`r" APPLICATION FOR ELECTRICAL ERMIT LI
COURNTY OF LOS ANGELES
RTME T OF COUNTY ENGINEER FNEARSESST
BUILDING AND SAFETY DIVISION _Agn
C
FOR APPLICANT TO FILL IN
OUTLETS NO EACH FEE
OWNER
RECEPT 23 $ $ MAIL
FIRST 20S (16 ADDRESS D V bDa
LIGHT-10— TOTAL 25
SWITCH �1' � OVER 20 G 10 � „O CITY ` ,+ TEL NO
PLAN CHECK
FIRST 20 APPLICANT ADDRESS
,+
LIGHTING } TOTAL 8 25 Q ,
FIXTURES J �o OVER 20 10
RESIDENTIAL APPLIANCES CITY 00 TEL NO
RANGE DRYER_WTR HTR_ PERMIT
APPLICANT 1*01
STA COOK DISP IF A U �_ ADDRESS //
SPACE HTR AIR COND CITY it TEL NO
CLOTHES WASH DISHWASH LICENSE NO CLASS
FAN OTHER100 ll O O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TC TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, EHP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 300 RES DE IN, THE A�B/OVE DESCRIBED RESIDENTIAL PROPERTY V
SIGNATURE /� im
10 - 50 5001 1 OF PERMITTEE (i7 O
50 - 100 1000 ri
DI:?TI CLASS PRO SED BY lL
100 - 500 1500
U)
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOTOVER 600 VOLTS OR 200AMP I 300 Q
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AM P 1000
TEMP POWER POLE
TEMPSERVICE,POLE,&APPURTENANCES 500
TEMP LIGHT OR RECEPT SYSTEM 300 UNDERSLAB WORK
ROUGH CONDIUT
WIRING G ff 7 i
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) /7101D
O UTILITY CO NOTIFIED / Y` -) A /
PLAN CHECK FEE
'�
PERMIT ISSUING FEE 300 FINAL L I
TOTAL FEE 2A. 0
PLAN CNECK'VALIDATION CK M O CASH PERMIT VALID 1 0 O CASH
�.,o,.� g q o-I .AUG 31 2 0 20.0,0- q
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE