HomeMy Public PortalAbout5020AGNES AVE_Electrical 76A663 CE806 „ 71 APPLICATI CALF%RMIT
,COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �0 2� JAS
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY L r�3
v
NEAREST
FOR APPLICANT TO FILL IN CROSS ST WogC
OUTLETS NO EACH FEE
OWNER P
RECEPT_ $ $ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS 5 d %o p
CITY P TEL NO
SWITCH OVER 20 1p
PLAN CHECK
LIGHTING 1 TOTAL FIRST 20 25 APPLICANT
)}
OVER 20 ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR_ APPLICANT
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITYvy TEL NO
CLOTHES WASH DISHWASH LICENSE NO CLASS
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT 1 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 & TYPE OVER TO
IHEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR
0 - 1 10p LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO IDL
1 - 10 300 RESIDE IN THE Al VE DESCRIBED ARES ENTIAL PROPERTY Q
V
SIGNATURE
10 - 50 500 OF PERMITTEE 0
50 - 100 1000 G
DISTRICT NO CLASS ZONE PROCESSED BY
100 - 500 1500 ^10 — N
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES ?
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER 600 VOLTS OR 200 AMP 300
SERVI CE OVER 600 VOLTS OR 200 AMP 1000 APPROVALS DATE INSPECTOR S SIGNATURE
TEMP POWER POLE
TEMPSERVICE POLE &APPURTENANCES 500
TEMP LIGHT OR RECEPT SYSTEM 300 UNDERSLAB WORK
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
PLAN CHECK FEE UTILITY CO NOTIFIED
PERMIT ISSUING FEEFINAL
3 00
TOTAL FEE
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK CASH
.0Q-S5 773 ?lRY 10 2 D 6.00-
SEE
EE BACK OF APPLICATION FOR COMPLETE SCHEDULE