HomeMy Public PortalAbout5761ALESSANDRO AVE_Electrical 76A663-CE80610/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 'OB v
BUILDING AND SAFETY DIVISION ADDRESS V
r
LOCALITY
NEAREST y...,.
FOR APPLICANT TO FILL IN CROSS ST,
OUTLETS NO. EACHI FEE OWNER OR
$ s FIRM NAME
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20 25 1
ADDRESS
CITY T L. O
SWITCH OVER 20 1p
PLAN CHECK
FIRST 20 25 APPLICANT
LIGHTING TOTAL
FIXTURES OVER 20 10ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. N0.
PERMIT
RANGE
4-DRYER WTR. HTR._ APPLICANT
STA. COOK DISP. F.A.U. ADDRESS Z
SPACE HTR. AIR COND. CITY ,� TEL. 7 j
CLOTHES WASH. DISHWASH. LICENSE OR e- CLASSC
REG. NUMBER
FAN OTHER 1.00 u 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
tt......// AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING W ITH 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 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEgAL OWNER OF THE ABOVE y,
1 - lO - 3.00 DESCRIFED RESIDEN AL PRO ERT 0
PERMITEE C.7
10 - 50 5.00 SIGNATURE
50 - 100 10.00 IU
DISTRICT NO. C ED BY
100 - 500 15.00O� flsom�� �
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 C, UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 5.00 __] WIRING
TEMP LIGHT OR RECEIPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED f t7
FINAL \161119-24 L
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 K
TOTAL FEE U
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. O. CASH
IF,, 2 ` 4 173 AUG 21 2 a 9.0 0 A
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE