HomeMy Public PortalAbout5951ALESSANDRO AVE_Electrical (2) 76A663 CE806 9 67 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �+ /
BUILDING AND SAFETY DIVISION ADDRESS `J �l re a44a 'y
JOHN A LAI,�R'E^COUNTY ENGINEER
COLEMAN IN JENKINS, SUPERINTENDENT OF BUILDING LOCALITY �+
NEAREST
FOR APPLICANT TO FILL IN CROSS ST O
NO
EACH FEE
$ $ OWNER
RECEPT MAIL �J
LIGHT TOTAL FIRST 20 20 ADDRESS
l
SWITCH_ OVER 20 10 CITYrefV e- TEL NO 6
LIGHTING TOTAL FIRST 20 20 CONTRACTOR
FIXTURES OVER 20 10 ADDRESS
RANGE_DRYERWTR HTR CITY TEL NO
STA COOKDISP _F A U LICENSE NLr
SPACE HTR AIR COND I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH DISHWASH WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
FA N_OTHER 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
IND HEATERS ETC HP KW KVA RESIDE IN THE ABOVE ESCRIBED RESIDENTIAL PROPERTY
SIZE & TYPE OVER TO
SIGNATURE
0 - 1 1 00 OF PERMITTEE
O
1 - 10 3 00 DISTRICT GROUP ZONEVIPRffSSED BY U
10 - 50 5 00
O
50 - 100 10 00 NOTES G
!� W
100 - 500 15 00 d
N
SIGN GAS SIGN AND ONE CIRCUIT 3 00
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 1 00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 Z L�
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE &APPURTENANCES 3 00
APPROVALS DATE INSPECTORS SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT n V
ISSUING FEE 2 00 C.-'C.2 WIRING
FIXTURES
SUPPLEMENTARY ISSUING FEE 1 00
POWER AUTHORIZED y yJ e
PERMIT FEE UTILITY CO NOTIFIED
PLAN CHECK FEE (507 PERMIT FEE) FINAL "P9
vlr" I *o o,
TOTAL FEE JOS PH C ROOHANNv
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION (:!!7)M 0 CASH
0MSEE ,o 2 a-o�Q-3 AuG 2 3 2 D 4 00-
SEE
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