HomeMy Public PortalAbout4803ALESSANDRO AVE_Electrical (3) 78A663 CE908 10,74 1 APPLICATION FOR ECTRI AL PER IT LSI.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS BUJ �PS/f,,ri >/IU
LOCALITY /
FOR APPLICANT TO FILL IN CROSS ST o e.¢ /TLUS/°�
OUTLETS NO EACH FEE OWNER OR
FIRM NAME yd0lOV,1*!,1 (f-
RECEPT1-4 $ $ MAIL
LIGHT TOTAL
FIRST 20 25 (y ADDRESS
OVER 20 CITY �- TEL NO
SWITCH 10 e) PLAN CHECK
TOTAL
LIGHTING FIRST 20 Zg UU APPLICANT
FIXTURES
OVER 20 10 ADDR
RESIDENTIA APPLIANCES CI 7< TEL NO '
PERMIT _ _�r\ /j)��
RANGE DRYER WTR HTR APPLICANT CIUd'G ,Sa V•
STA COOK DI SP F A U ADDRESS �I r/ ti /72 u S A-
SPACE HTR AIR CON CITY Ce, (JY;,- TEL NO
CLOTHES WASH DISHWASH LICENSE OR CLASS -
REG NUMBER
FAN OTHER 100 U 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 IN TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE
J U� 1 - 1O 300 3 Q DESCRIPED RESIDENTIAL IPR ERTY U
10 - 50 g00 PERMIT EES
SIGNATURE O
F-
50 - 100 1000 U
DISTRICT Np_ ROC SSED BY a
100 - soo +500 s ` z
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECT44SSIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP , 300 dU UNDERSLAS WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 500 WIRING `
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL 2��76
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 Q
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDA ION CK M D CASH
3 7 2c--JUL 10 2 0 1 8,1 0 ®yo
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE .v