HomeMy Public PortalAbout5030ALESSANDRO AVE_Electrical (2) 768663 CE-406 10/72 APPLICAT N REL RICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS DC7 yam.
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS SjAn • /
FRECEPT
UT TS N EACH FEE OWNER OR
RM NAME
5 S MAIL
TOT,9LFIRST 20 25 ADDRESS p O-'GL.gJ� CITY TEL NO
OVER 20 1p PLAN CHECK 17FIRST 20 25APPLICANT
TOTAL OVER 20 ADDRESS
10
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR APPLICANT
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITY TEL NO ( 05y
CLOTHES WASH DISHWASH LICENSE OR
REG NUMBER CLASS
i
FAN OTHER 100 1 HEHEB� 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 a
SIZE & 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
1 — 10 300 DES CRICED ��ESTIAL PROPERTY p�
O
PERMITEE � U
10 - 50 500 SIGNATURE
O
50 - 100 1000 DISTRICT 0 PROC SED BY F--
U
100 - 500 1500 O ni • \
(J N
Z
SIGN GAS
SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPEC RssIGNATURE
TUBE OR '
MARQUEE ADDITIONAL CIRCUITS 100 ) TEMP POWER POLE
SERVICE NOT OVER 600 VOLTS OR 200 AMP / 300 l/ UNDERSLAB WORK
S ERV I CE OVER 600 VOLTS OR 200 AM P 1000 ROUGH CONDUIT
Y �
TEMPSERVICE POLE &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES f
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL ���-Iz.
4
PERMIT FEE (SUB TOTAL) _ INOTES
PLAN CHECK FEE r
PERMIT ISSUING FEE 300
TOTAL FEE
1
PLAN CHECK VALIDATION CK M o CASH PERMI A IbATION CK M o CASH
r
3 7 OLZI APR 3 2 D 7 7 5 ,&9d
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE —