HomeMy Public PortalAbout4820ALESSANDRO AVE_Electrical (2) 76A663C CE806B 12/76 APPLICATION FOR EL CTRICAI PERMIT
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BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN l
rResidential
Bldgs &Pools EACH NO FEE ADDRESS ZQ Z— 4-NO G
Sq Ft $ — $ LOCALITY L JL
q Ft — NEAREST
CROSS ST ! 2vS&
imming Pools OWNER OR
FIRM NAME
Outlets Light Switch& Receptacle , MAI L
First 20 ADDRESS
Additional CITY Tel No Z c7!
PLAN CHECK
Lighting Fixtures APPLICANT 6!-,IL,6/`
First 20 ADDRESS
Additional
CITY Tel No
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT !J L
Range Heater—L D W
ADDRESS J O v c s L -5-
Oven Dryer W M
Top FAU W H CITY (fav I Tel No
Hood Fan LICENSE OR 2
REG NUMBER `�s� Class G^
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Disp A C j
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY 0
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING (D
Size&Type HP KW KVA or KVAR ELECTRICAL WIRING IU
a-
Upto 1 Incl HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Z
Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl DESCRIBED RESIDENTIAL PRPERTY///JJJ
Over 50 to 100 Incl PERMITEE j'/Q� //
Over 100 SIGNATURE ( x
ZAa�,
DISTRICT NO /) PROC ED BY
Services
0 200 Amp Under 600 V
201 1000 Amp Under 600 V APPROVALS DATE INSPECTOR 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) U UTILITYCO NOTIFIED
PLAN CHECKING FEE (One Fourth Permit Fee) FINAL
PERMIT ISSUING FEE
NOTES
TOTAL FEE
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
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6 7 0�-'7I•$ 15 2 D 9 2 0 A,�i4