HomeMy Public PortalAbout5951ALESSANDRO AVE_Electrical (4) 76A663 CE806 3 69 /f
APPLICATION FOR ELECTR.16, UlkCi
IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ^
BUILDING AND SAFETY DIVISION ADDRESS `7 4� Z>
JOHN A LAMBIE COUNTY ENGINEER /
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST A
NO EACH FEE
$ $ OWNER
RECEIPT MAIL
LIGHT TOTAL
FIRST 20 20 ADDRESS
SWITCH OVER 20 10 CITY TEL, NO Z�7�cjd
PLAN CHE K
LIGHTING TOTAL FIRST 20 a 20APPLICAN i
FIXTURES } OVER 20 10 ADDR S
RANGE_DRYER_WTR HTR C IT Yref,2t,4 TEL NO
STA COOK DISP F A U CONTRACTOR
SPACE HTR AIR COND ADDRESS
CLOTHES WASH DISHWASH CITY TEL NO
FAN_OTHER 1 00 D LICENSE NO CLASS
MOTORS TRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND HEATERS ETC HP KW KVA AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 — 1 1 00 1 HEPEBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
-ICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF }
1 — 10 3 00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO Q.
RESIDE IN THEA VE DES CRI D RESIDENTIAL PROPERTY O
10 - 50 1500 1 u
SIGNATURE ad
- 100 1000 OF PERMITTEE O
f-
100 — 500 15'500 DISTRI T GROUPZ� � PR SSED BY v
L L)
SIGN GAS SIGN AND ONE CIRCUIT 3 00a"
TUBE OR � N
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES /� J ��
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
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 J 0
WIRING i D
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2 00 UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 / 0� FINAL
TOTAL FEE Z �� JOSEPH C ROOHAN
SUPERVISING ELECTRnL ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION cM o CASH
3 4 5 C JA,J 2 9 2 a 200
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