HomeMy Public PortalAbout5846ALESSANDRO AVE_Electrical (5) 76A663 CE"6 10/74 APPLICATION FCR ELECTRICAL PERNI�'T
COUNTY OF LOS ANGELES
DEBPUIRLDING AND SAFETY DIVISIONNT OF COUNTY ENGINEER ADDRESS /(j.cj���!`��+Z1�
LOCALITY
NEAREST !!/ �
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE OWNER OR
$ $ FIRM NAME
RECEPT_ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
SWITCH OVER 20 ip CITY TEL NO
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
p PERMIT r' ��/��
RANGE DRYER_WTR HTR APPLICANT �
STA COOK DISP F A U I ADDRESS
SPACE HTR AIR COND h CITY �s9 � C� TEL NO 14#(P -
CLOTHES WASH DISHWASH LICENSE OR �/� CLASS --IV
REG NUMBER T
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVEIS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KVA I I ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED A5 RED IRED BY LOS ANGELES COUNTY AND STATE OF }.
CALIFORNIA ORTHAI I AM THE LEGAL OWNER OF THE ABOVE a-
1 - 10 300 OESCRIPED RESIDENTIAL PROPERTY U
PERM
10 - 50 500 SIGNAITURE - ��t�'�'" C�
V
50 - 100 I 1000 LLJ
DISTRICT P SED BY a-
00)N
100 - 500 I 1 j 00 Z
{ f
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPEC RS SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
O POWER AUTHORIZED
UTILITY CO NOTIFIED 7
I FINAL
PERMIT FEE (SUB TOTAL) NOTES �`
IX 44_
PLAN CHECK FEE ��-
PERMIT ISSUING FEE
TOTAL FEE
-/7716;�7- fJ
PLAN CHECK VALIDATION CK M 0 C i' PERMIT VALIDATION CK M 0 CASH
t �
211 8,nfr 9 2 6 0 0 A'-Ib
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
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