HomeMy Public PortalAbout9168 JAYLEE DR_Electrical_2/2/1978_outlets,fixtures 76A663C;.CE-06B 12/75 &PPLEMOV FOR ELECYREA PERM
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BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN JOB /f��aT
New Residential Bldgs.&Pools C
EACH NO. FEE ADDRESS �, a� daJAE�F
1 &2 Finaily Sq. Ft. $ — $ LOCALITY 7 fZ fkrn'LjF C-"ra
Multi'-family Sq. Ft. — NEAREST �E t✓�
Residential Swimming Pools CROSS ST.
OF
OR
FIRM NAME 0 EP ; _ 14,0 --
Outlets: Light,Switch & Receptacle MAI L
First 20 1 0 ADDRESS qtj, jfz �Fp1 E // � r
Additional CITY�eH'4-L �j '� Tel. No. - ^ .�- �
PLAN CHECK
Lighting Fixtures APPLICANT
D
Of
First 20 ` i / ADDRESS
Additional
CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range Heater_ D.W. ADDRESS
Oven Dryer W.M.
Top FAU W.H. CITY Tel. No. >-
Hood Fan LICENSE OR O
REG. NUMBER Class. v
Disp. A.C. �
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION I=)
AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ly
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. Ci-
Up
Up to 1. Incl.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR 1 A THE LEGA WNER O"THE'ABOVE
Over 10 to 50 Incl. DESCRIBED R DE IAL DI TY.
Over 50 to 100 Incl. PERMIT
Over 100 SIGNATUR
D
Services ISTRICT NO. PRO S EO Y
0-200 Amp. Under 600 V f�� J ��7 ./ e, C�
201 - 1000 Amp. Under 600 V APPROVALS DATE NSPECTOR'S
Over 1000 Amp,or Over 600 V
SIGNATURE
TEMP.'POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK ���`� ,
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED' y f
PLAN CHECKING FEE (One-Fourth Permit Feel FINAL F
PERMIT ISSUING FEE
NOTES
TOTAL FEE
a '
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK: M.O. CASH
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