HomeMy Public PortalAbout9174 JAYLEE DR_Electrical_10/2/1972_electric panel .76A663-CE806 ,;_7, APPLOCAMN G=o mE on ci%
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY'
--- -- NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACHI FEE
OWNER
RECEPT._ MAIL
'.LIGHT .TOTAL
FIRST 20 25. ADDRESS 7 L
N "
:SWITCH OVER 20 10CITY L. 0.
PLAN CHEC
LIGHTING 1FIRST 20 25 APPLICANT
J} TOTAL ' ADDRESS
FIXTURES OVER 20 1p
RESIDENTIAL APPLIANCES CITY TEL. No.
PERMIT
RANGE DRYERWTR. HTR. APPLICANT
STA. COOK DISP. F.A.U.
ADDRESS
SPACE HTR. AIR COND. CITY TEL. N0.
CLOTHES WASH. DISHWASH. LICENSE N0. 2. ® CLASS. rl
FAN OTHER 1.00 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 14 TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGI RED AND/OR '
0 - 1 1.00 LICENSED AS REQUIRED BY OS ANGELES COU T ND STATE OF
_ CALIFORNIA pR THATJ AM HE LE L OWNE F, AND_ INTEND TO'L
1 - lO 3.00 RESIDE N, THE ABOV DESC BED RES IAL -Q
V
10 - 50 5.00 SIGNATURE
OF PERMITTE
50 100 10.001
DISTRICTNO. CLASS ONE u
100 - 500 15.00 — ! a
to
SIGN,.GASSIGN AND ONE CIRCUIT 5.00. NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 600 VOLTS OR,200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR200AMP 10.00 -
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
UNDERSLAB WORK
' TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
'.FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PLAN'CHECK FEEe Al
. FINAL .
PERMIT ISSUING FEE ,. 3.00� V
S TOTAL FEE
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALID 10N CK. M.O. CASH
OCT 2 2 0 6.0.0 .
..SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE _ -