HomeMy Public PortalAbout5426 ACACIA ST_Electrical_2/14/1975_outlets Fir
CE806 10 ON
APPUCATIO F It Id CITRIC !AL PERMIT
COUNTY OF LOS ANGELES
:. DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY`DIVISION - ADDRESS AT L>
- LOCALITY C_ p� C
J
1 NEARESTy
FOR APPLICANT TO FILL IN CROSS ST
~ OUTLETS , NO EACH FEE OWNER OR �_, � ;
, $ $ FIRM NAME
RECEP,T MAIL i g 'T. "
FIRST 20 ADDRESS J .ter 1
LIGHT TOTAL � 25 � /6 ' f _
' OVER 20` _ CITY ,- TEL NO Xbs-�W
SWITCH_ 10 PLAN CHECK
LIGHTING FIRST 20 25 APPLICANT I
TOTAL
OVER 20 ADDRESS
FIXTURES - 10 �
RESIDENTIAL APPLIANCES CITY TEL NO
+ PERMIT
RANGE DRYER_WTR HTR_ APPLICANT
STA COOK DISP- F A U
` ADDRESS
1
SPACE HTR AIR COND ' CITY TEL NO
CLOTHES WASH DISHWASH v LICENSE OR ,
REG NUMBER CLASS
FAN OTHER 100 ` 1
- I NENEBI ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
I AND STATE THAT THE ABOVE 15 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 -i OVER' 1 TO
IHEREBY 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
` 1 - 10 300DESCR11'ED R DENiTIAL PTo
RTY r a
i
PERMITEE . , .l C.2
10 - 50 500; SIGNATURE
y 9.
O
50 - 100 IOOOy DISTRICT NO ' PRO SSED BY W
100 - 500 1500 H
( Z
SIGN GAS SIGN AND ONE CIRCUIT 500 a APPROVALS' 'DATE INSPEC SSIGNATURE
TUBE,./OR `
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICENOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK ' +
SERdICEOVER 600VOLTS OR200AMP 1000 ROUGH CONDUIT !
TEMP S,ERVI CE,POLE, &APPURTENANCES 500 , WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
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1
FINAL I r Il
PERMIT FEE (SUB TOTAL) NOTES ,
PLAN CHECK FEE
PERMIT ISSUING FEE 300 0� 1
TOTAL FEE , !
PLAN CHECK VALIDATION / CK M D CAS" PERMIT-VALIDATION CK/ M 0 cASN
60 f" EB 14". 2 D t 3.7 5A
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE , 1