HomeMy Public PortalAbout5736ALESSANDRO AVE_Electrical 76A663A CE806A 4/72 APPLICATIO FORS ELECTRICAL PE IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FBDG
BUILDING AND SAFETY DIVISION i''Y ClT
FOR APPLICANT TO FILL IN CROSS ST ,(-
OUTLETS NO EACH FEE
OWNER �Z / >r
RECEPT_ MAIL
LIGHT TOTAL FIRST 20 ADDRESS
CITY 7 ,na IV TEL NO
SWITCH_ OVER 20 PLAN CHECK
LIGHTING TOTAL FIRST 20 { APPLICANT
J} TAL
FIXTURES
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR_ APPLICANT
STA COOK DI SP F A U ADDRESS y
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH DISHWASH LICENSE NO CLASS
FAN OTHER I 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 C-')IND HEATERS ETC HP KW KVA ELECTRICAL WIRING w
SIZE & TYPE OVER TO CD
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR (✓
0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF W
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
1 - 10 RESIDE IN TIPED R IDENTIAL PROPERTY h
Z
10 — 50 SIGNATURE
OF PERMITTEHE ABOVE DES CR
50 — 100
DISTRICT NO ICIAS1 ZONE OC SED Y
100 — 500 ^QO 6R— j
SIGN GAS SIGN AND ONE CIRCUIT NOTES g
TUBE OR
MARQUEE ADDITIONAL CIRCUITS
ERVICENOTOVER600VOLTS OR200AMP
APPROVALS DATE INSPECTOR S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP
TEMP POWER POLE
TEMP SERVICE POLE &APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM
ROUGH CONDI UT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE
ZZ 1PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATIO cK M o CASH
8 1 7 STT v 2 0 9.0 0 ®y"
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