HomeMy Public PortalAbout6007 AVON AVE_Electrical_4/3/1973_outlets 76A663 CE806 1171 APPLICATION FOR EL L PER�IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING L/
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN 7 I CROSS ST
OUTLETS NO EACH I FEE
OWNER .e
$
RECEPT $ MAIL
FIRST 20 ADDRESS
LIGHT TOT 25 0 CITY TEL NO
OVER 20
SWITCH 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 25 �r/ APPLICANT
(J'
FIXTURES
OVER 20 10 ADDRESS
'
RESIDENTIAL APPLIANCES CITY TEL NO
RANGE-DRYER
_WTR HTR_ PERMIT
APPLICAN e,',VI j/
STA COOK DISP F A U ADDRESS _
SPACE HTR AIR COND CITYko
J4TEL NO
u
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 HEATERSETC HP 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 A STATE OF a
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF INTEND To O
1 - 1O 300 RESIDE IN THE ABO ESCRIBED RESIDENT PROPERTY V
SIGNATURE !� i
10 - 50 500 OF PERMITTEE Cifj[/j O
50 - 100 1000 ri
DIST NO ICI ASS ZO�I&.�.� / ROCE ED BY
,9/ W
100 - 500 1500 a
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES �.. ?
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER600VOLTS OR200AMP 300
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER600VOLTSOR200AMP 1000
TEMP POWER POLE
TEMPSERVICE POLE &APPURTENANCES 500
TEMP LIGHT OR RECEPT SYSTEM 300 UNDERSLAB WORK A
ROUGH CONDIUT
WIRING J 17
FIXTURES
i
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO NOTIFIED
PLAN CHECK FEE
PERMIT ISSUING FEEFINAL
3001 � Qp
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATIO cK : M 0 CASH
1 . 03 5 5 73 APR 3 2 D �Q 0 `+
R
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE