HomeMy Public PortalAbout9063 ACASO DR_Electrical_8/5/1974 76p660-CE806
P. /72 APPLICiiIO�NR C
LEC AL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS 0Q,- ,Q_ SES PAZ-
LOCALITY
,A. C �7 NEARE � t
FOR APPLICANT TO FILL IN CROSS ST �� Z AZ'-cs.Ac
O))UTTLETS NO EACH FEE OWNER OR //��
RECEPT L $ $ FIRM NAME jta����T oowz Gv `-
LIGHT � TOTAL - MAIL
FIRST 20 �p 25 QO
ADDRESS O G f>/?—
��// CITY C_ TEL
SWITCH OVER 20 10 `j O PLAN CHECK
LIGHTINGTOTAL FIRST 20 25 L APPLICANT
J
FIXTURES -171
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 ' 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE >
1 - 10 300 DESCRIPED RESID NTIAL PROPERTY O
PERMITEIE v
10 - 50 500 SIGNATURE
O
50 - 100 1000 v
DISTRICT NO ROCE ED BY LLQ
100 - 500 15 00a d
N161
z
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPEC SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE /
SERVICENOTOVER600VOLTSOR200AMP 300 UNDERSLAB WORK
SERVICEOVER600VOLTSOR200AMP 1000 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
f
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL 0
PERMIT FEES (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 Q
TOTAL FEE
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION _CK M O CASH
�3 6.5�1N16 �5 2 1 10.1
� r
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE