HomeMy Public PortalAbout4929ALESSANDRO AVE_Electrical (3) 76A663 CE6C6 10/74 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER gDDRESS
BUILDING AND SAFETY DIVISION
LOCALITY
NEARES
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE OWNER OR
�{ $ $ FIRM NAME
RECEPT n`� - MAIL
LIGHT / TOTAL FIRST 20 O ADDRESS
SWITC 2_ZJ' OVER 20 �� o CITY TEL NO
C CK
FIRST 20 APPLI NT
LIGHTING TOTAL
FIXTURES
OVER 20 10 ADDRESS
7
RESIDENTIAL APPLIANCES CIT TEL NO J
P I
RANGE DRYER_WTR HTR APPLICANT
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITY TEL N0, 7`j��s
CLOTHES WASH DISHWASH REG NUMTC ENSZBER CLASS
FAN OTHER 100 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 & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED A5 RED IRED BY LOS ANGELES COUNTY AND STATE OF },
CALIFORNIA OR THAI I AM THE LEGAL OWNER OFT E ABOVE 0
1 - 1O 300 DESCRIPED R DE TI,L PROPERTY �! l- V
PERMITEE
_ 10 - 50 500 SIGNATURE
U
50 - 100 1000 LLJ
DISTRICT NO ROCE S D BY N
100 - 500 1500
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 3D FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300
TOTAL FEE /
PLAN CHECK VALIDATION CK M 0 CASH PERLIAATION cK M 0 CASH
3 3 1�nrT 1 5 10 A`-d
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE `