HomeMy Public PortalAbout5042ALESSANDRO AVE_Electrical (2) 76A663C ACES 1 12/75 APPLICATION FOR ELECTRICAL PERMIT /�111'/''I'11111
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BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN JOB
ADDRESS FEE L
New Residential Bldgs & Pools EACH NO _
1&2 Finaily Sq Ft $ — $ LOCALITY a
Multifamily Sq Ft — NEAREST ,
Residential Swimming Pools CROSS ST
WNER OR
FIRM NAME
Outlets Light Switch& Receptacle MAIL
First 20 ADDRESS
Additional CITY Tel No
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY Tel No
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range_ Heater D W ADDRESS
Oven Dryer W M
Top FAU W H CITY Tel No
Hood Fan LICENSE OR O
� REG NUMBER Class �
Disp A C v
1 HEREBY ACKNOWLEDGE THAT`I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Q
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING F—
Size&Type HP KW KVA or KVAR ELECTRICAL WIRING
w
CL.
Up to 1 Incl GO
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA ORTHAT I AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl DESCRIBED RES IDDENTnIA/L PROPERTY
Over 50 to 100 Incl PERMITEE ^� xed /
Over 100 SIGNATURE-0
Services
DISTRICT NO P CE ED BY
0 200 Amp Under 600 V
201 1000 Amp Under 600 VAPPROVALS 'Y TE INSPECTOR S
Over 1000 Amp or Over 600 V r
Over
TEMP POWER POLE
Temp Power Pole&Appurtenances UNDERSLAB WORK i` t
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT i
(Other) tFI
ES
AUTHORIZED
PERMIT FEE (Sub Total) CO NOTIFIED
PLAN CHECKING FEE (One Fourth Permit Fee)
PERMIT ISSUING FEE
TOTALFEE ^7 '7 0 �-7
I
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION f CK MO CASH
2 1 4"Afi ? 7 lj 'k,,