HomeMy Public PortalAbout4941ALESSANDRO AVE_Electrical (4) sJ �
76A663 CES06 10/74 APPLICATION VOR ELEC ICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER .JOB
BUILDING AND SAFETY DIVISION ADDRESS 4941 JJ ,AtOSA)TAO t
LOCALITY -rMPLE CITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST 5PA/Z9LCTT
OUTLETS NO EACH FEE OWNER OR
FIRM NAME
RECEPT� $ $ MAIL
LIGHT TOTAL FIRST 2Q 13 25 ADDRESS
SWITCH 13 OVER 20 10 ,. o CITY TEL NO
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR_ APPLICANT KENNETH C STuaeas
STA COOK DISP F A U ADDRESS 4541 LE!56A"mo A V E
SPACE HTR AIR COND CITY, TEMPLE Ct7Y TEL NO 25-1-41635
CLOTHES WASH DISHWASH LICENSE OR CLASS
REG NUMBER a
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
O - 1 100 D LICENSEDAS REOU[RED BY LOS ANGELES COUNTY AND STATE OF >-
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE a,
� ��'(;�`✓ --1---10-_�.-300 W-"` DESCRIPED RESIDENTIAL PROPERTY U
PERMITEE
10 - 50 500 SIGNATURE ' O
50 - 100 loop
DISTRIC NO OC SED BY LLL
100 - 500 I o 00 Z
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR S SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR200AMP 1000 ROUGH CONDUIT --2.4-2 /
TEMPSERVICE POLE &APPURTENANCES Soo WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 3001 IV r n jjj ' r- N Q
TOTAL FEE
PLAN CHECK VALIDATION CK M CASH PERMIT�V7A°LLIDATTI�OaNcK M o CASH
r-t,PR 23 2 D 1 4 2 0 ,&--a
V -
I
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE