HomeMy Public PortalAbout5760ALESSANDRO AVE_Electrical 768663 CE806 10,72 APPLICA ION R ELET CAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER77 JOB
BUILDING AND SAFETY DIVISION ADDRESS V
LOCALITY `+ A V
;:
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
FFIXTURES
TS NO EACH FEE OWNER OR
S S FIRM NAME /
MAIL
FIRST 20 ff 6 O ADDRESS
TOTAL
� I CITY ` TEL NO �-{�7 7
\ OVER 20 10
PLAN CHECK
' FIRST 20 APPLICANT
TOTAL 3
OVER 20 ADDRESS
�0
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYEP WTR HTR_ APPLICANT
STA COOK DISP F A U i ADDRESS
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH DISHWASH LICENSE OR
REG NUMBE CLASS
FAN I OTHER ' '1�1 L J� 1 HEHEBI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
�J 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 REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE
1 - 10 300 DESrRIfED RES NTIAL PR PERTY
O
E
U
PERMITEV
10 — 50 500 SIGNATRE
O
50 — 100 1000 F'
DISTRICT NO PROC SED B W
100 — 500 ,,o0 1 C/)
� Z
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR S SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLiE
SERVICENOTOVER600VOLTS OR200AMP 300 UNDERSLAB WORK
SERVI CE OVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL,
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE C
TOTAL FEE
1
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK �M 0 CASH
- - �991nCT 3 2 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE