HomeMy Public PortalAbout5332ALESSANDRO AVE_Electrical 76+669 CE80611 71° APPLICATION FOR ELECTRICAL RMIT LJ
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDIADDRESS332 Alessandor
BUILDING AND SAFETY DIVISION
LOCALITY Temple City
NEAREST Olive
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE OWNER lvlr.. Fred Ri.cke
RECEPT 4 $ $
MAIL
FIRST 20 10 25 2 50 ADDRESS
LIGHT TOTAL CITY TEL NO 285-6362
SWITCH_ �_ OVER 20 Ip
PLAN CHECK
LIGHTING TOTAL FIRST 20 __52S APPLICANT
FIXTURES a 10
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR_ APPLICANTTalbott Electric Inc.
STA COOK DISP F A U ADDRESS 1887 E. Washington Blvd.
SPACE HTRAIR CON D 1 CITY Pasadena TEL NO 798-110
CLOTHES WASH DISHWASH ((fi� LICENSE NO 196541 CLASS C-lo_
FAN OTHER 2 100 2 00 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 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO 0
1 - 10 300 RESIDE IN THE AS
VVE''''���� DESCRIBED RESIDENTIAL PROPERTY V
10 - 50 500 SIGNATURE
OF PERMIT E ✓ �1Z�.,�� O
50 - 100 1000
DISTRICT NO I.C1 ASS ZONE PROCESS Y Lu
100 - 500 1500 d
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER 600 VOLTS OR 200 AMP 300
APPROVALS DATE INSPECTOR S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 1000
TEMP POWER POLE
TEMPSERVICE POLE &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDIUT
WIRING '✓ '� 2�
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) 4 50
UTILITY CO NOTIFIED
PLAN CHECK FEE
FINAL 2 ?3
PERMIT ISSUING FEE 300
TOTAL FEE If,
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATIO cK M 0 CASH
uAI1u ? ^ 2� SE' 19 2 0 825- 1
SEE BACK OF APPLIC TI FOR COMPLETE SCHEDULE
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