HomeMy Public PortalAbout5525ALESSANDRO AVE_Electrical J
768663 CE806 10/72 APPLICAftN FOR RECTRICAL PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB � ��
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY -71
`
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
7RECEPT
TS NO EACH FEE OWNER OR /U /CQ �� �rT A A/
$ $ FIRM NAME ! b J At
MAILFIRST 20 25ADDRESS � OA
TOTALOVER 20 CITY P TEL NO 10 PLAN CHE
LIGHTING TOTAL FIRST 20 25 APPLICANT
OVER 20 ADDRESS
FIXTURES 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
CLOTHES WASH DISHWASH LICENSE OR CLASS
REG NUMBER
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
0 - 1 100 LICENSED AS REQ ED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA ASD
HAI I AM THE LEGAL OWN OF THE ABOVE
1 - 10 3 00 DESCRIPED SID TIAL PRO RTY O
U
PERMITEE
10 - 50 500 SIGNATURE6_ O
F
50 - 100 1000c_')DISTRICT NO PROCE E BY W
CL
100 - S00 1500 dv °
SIGN GAS =SIGN ONE CIRCUIT 500 APPROVALS ti DATE INSPEC RSSIGNANRE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK
SERVICEOVER600VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL A 7-3
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 3 ��
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH A- _AD
LIDATION cK M0 CAS4 U 5 DE 6 O O A
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE