HomeMy Public PortalAbout4906AGNES AVE_Electrical (6) 76A663 cF_1610/74 APPLICATIO FO ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
• DEPARTMENT OF COUNTY ENGINEER JOB �/
BUILDING AND SAFETY DIVISION ADDRESS
A), A LOCALITY
NEAREST AA A J A
FOR APPLICANT TO FILL IN CROSS ST "/`
OUTLETS 1 NO EACH FEE FIRM NAME /'• G
RECEPT $ $ AMAI L
DDRESS 1+
LIGHT,_ To L FIRST 20 25
OVER 20 CITY TEL NO
SWITCH_ 10 PLAN CHE
LIGHTING FIRST 20 25 APPLICANT
TOTAL .
FIXTURES Lr OVER 2010 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR APPLICANT
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITY Oz v TEL NO
1
CLOTHES WASH DISHWASH LICENSE ORREG NUMBER CLASS
FAN OTHER 100 / I HEREBY ACKNOWLEDGE THAT I HA+VE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTOR 5 TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
0 – 11 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF },
p CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE �-
` 1 – 1O 300 DESCRIFED RESIDENTIAL PROPERTY V
10 – 50 500 SIGNATURE
V
50 – 100 1000 DISTRICT NO ROC SED BY H
100 — 500 1500 `) BU
Z
o (l
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTORS 51 NATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS I 100 TEMP POWER POLE
SERVICE NOTOVER600VOLTS OR200AMP 300 UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 500 WIRING d9g 1011-JFG.—
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
s POWER AUTHORIZED
r
UTILITY CO NOTIFIED
FINAL �� -
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300
TOTAL FEE
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION cK M 0 CASH
f
e
076nFF� 6 2 U 1370 ®`7
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
P � �