HomeMy Public PortalAbout5615ALESSANDRO AVE_Electrical (2) r
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76A663 CE 60616,76, APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING ASAFETY
FOR APPLICANT TO FILL IN JOB �
New Residential Bldgs &Pools EACH NO FEE ADDRESS
1 &2 Family Sq Ft $ 025 — $ LOCALITY
Multi family Sq Ft 02 — NEAREST
Residential Swimming Pools 25 00 CROSS ST LL
OWNER OR
� FIRM NAME
Outlets RecLight_/__Sw U MAIL S��O� A
First 20
� 30 30 CITY C Tel No�
Total No Additionol -i
PLAN CHECK L
APPLICANT
Lighting Fixtures First 20 50 ADDRESS
Additional 30
Total No� CITY yy Tel No
Fixed Appliances Not Over 1 HP PERMIT
Range_Heater_D W APPLICANT
Oven_Dryer_W M— ADDRESS
Top _FAU _ W H CITY Tel No
Hood—Fan _Other_ oO 4,41
LICENSE OR
Disp _Room Air Cond 250 REG NUMBER Class
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP KW KVA or KVAR COMPLY,WITH ALL COUNTY ORDINANCES AND-STATE LAWS
2 50 REGULATING ELECTRICAL WIRING
Up to 1 Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR C
Over 1 to 10 Incl 500 LICENSED AS REQUIRE OS ANGELES COUNTY AND STATE OF U
Over 10 to 50 Incl 1250 CALIFORNIA OR/TH I THE LEGAL OWNER OF THE ABOVE
Over 50 to 100 Inc 25 00 DESCRIBED RESIDE IAL OPERTY 0
Over 100 40 00 PERMIT EE
SIGNATURE d
V!
Services ' DISTRICT NO CESSE BY Z
0`200 Amp Under 600 V 1250 G
201 1000 Amp Under 600 V 25 00 100-
Over
0-
Over 1000 Amp or Over 600 V 5000 Z
i O -
Temp Power Pole&Appurtenances 1000
Q
Sign with One Branch Circuit 1000
Additional Sign Branch Circuits 200 INSPECTION >
INFORMATION _3
Misc Conduits&Conductors 1000 ON REVERSE i
Other(See Complete Fee Schedule) SIDE " —43863A
2
o o o o o 2
2 - 950
PERMIT FEE (Sub Total)
Z 0000g500
PLAN CHECKING FEE (One Fourth Permit Fee) O
PERMIT ISSUING FEE $7 00 0 4 1 9-79
J
TOTAL FEEI >
INSPECTION FINALED :E
date By Os