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HomeMy Public PortalAbout4929ALESSANDRO AVE_Electrical (4) 76A663 CE806 3 69 - / C Ir I `P 1 APPLICATION FOR ELECTRICAL M&ITT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS y q /gG�Ss,q.c>Q(2C7 JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST /o �ZwS/f NO EACH FEE $ $ OWNER �1 lit RECEIPT t_ MAIL LIGHT J TOTAL FIRST 20 20 �D ADDRESS CITY �L( TEL NO P7 7,S SWITCH OVER 20 10 PLAN CHECK LIGHTING TOTAL FIRST 20 -3 20 © APPLICANT FIXTURES } _? OVER 20 10 ADDRESS RANGE DRYER WTR HTR CITY TEL NO STA COOK DISP F A U CONTRACTOR SPACE HTR AIR COND ADDRESS CLOTHES WASH _DISHWASH CITY I TEL NO FAN OTHER 1 00 LICENSE NO CLASS MOTORS TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND HEATERS ETC HP KW KVA AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 - 1 1 OD 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF 1 - 10 3 00 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO d RESIDE IN THE ABOVE DESCRI D RESIDENTIAL PROPERTY 10 - 50 5 DO � ��_ V SIGNATOR K 50 - 100 10.00 OF PERMITTEE 0 H 100 - 500 1500 DISTRICT NO GROUP ZO PRW SIGN GAS SIGN AND ONE CIRCUIT 3 00 r' o OCE SED BY vii TUBE OR Z MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTORS SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (507 PERMIT FEE) POWER AUTHORIZED tA PERMIT ISSUING FEE 2 00 Z Ov UTILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE 3 /_0 JOSEPH C ROOHAN !� SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o CASH 7,1 7 8� SAF'11 2 0 3 6 0 SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ����