HomeMy Public PortalAbout9072 ACASO DR_Electrical_9/5/1975_outlets 78A883-CE806'10/74
APPLICATION FOR LECTRICAL PERMIT
1 + COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY-ENGINEER ADDRESS .0 •
BUILDING,AND SAFETY DIVISION `
LOCALITY
NEAREST
FOR APPLICANT TO,FILL IN CROSS ST
LETS i NO EACH FEE OWNER OR
V
$ $ -FIRM NAME c
RECEPT MAIL
"' FIRST 20 ADDRESS O —1 G Q�e,O
SW TC TOTAL OVER 20 �S „ CIT TEL NO
—` "--- I PLAN CHECK I +
FIRST 20 APPLICANT
LIGHTING TOTAL
FIXTURES
OVER 20ADDRESS
RESIDENTIAL APPLIANCES > CITY "T NO 1 a
RANGE DRYER_WTR HTR APPLICANT t
STA COOK DISP F A U 'ADDRESS
SPACE HTR-'AIR COND `' CITY 1 '� TEL NO
CLOTHES WASH$-t-DISHWASH 5 LICENSE OR
REG NUMBER CLASS
FAN OTHER IHEREBY ACKNOWLEDGE THAT I HAVE REAO THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE'TO COMPLY
MOTORS, TRANSFORMERS RATING ' t WITH ALL„COUNTY ORDINANCES,AND STATE-LAWS REGULATING ,
IND HEATERS, ETC HP KWi KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO ' `
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
D — 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM` THE LEGAL OWNER OF THE ABOVE p�
—+1O 300 DE5CRIFED RESIDENTIAL PROPERTY
V
PERMITEE
10 — 50 500 SIGNATURE O
50 —.100 1000 v
DISTRICT NO' CESSED BY
1100 — 500 1500Lit
O I Z
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR IGNATURE ~
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE "
SERVI CE NOT OVER 600 VOLTS OR 200 AMP / 5C) UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 260AMP 1000 ROUGH CONDUIT,
TEMPSERVICE,POLE,&APPURTENANCES 500 WPRING � -
TEMP LIGHT OR RECEPT'SYSTEM • 300 FIXTURES
r '
POWER AUTHORIZED
UTILITY CO NOTIFIED' a•
FINAL fw;+Xl-75
PERMIT FEE d (SUB TOTAL) NOTES , ,
PLAN CHECK FEE P
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH
' 4 1 '
1 _ ,
' • ' ' ' 5 1 9 rSEF 5 2 D 1 8.6 0 ®!vs
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE , `