HomeMy Public PortalAbout9635 LAS TUNAS DR_Electrical_2/17/1976_outlets 76A663-CE80610/74 APPLICATION FOR ELECTRICAL PERMIT
.0,4 COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS 4
LOCALITY �.�� C�C•C�
'77
NEAREST h1
7
FOR APPLICANT TO FILL IN CROSS ST,
OUTLETS NO. EACHI FEE OWNER OR
$ $ FIRM NAME
RECEPT MAIL
FIRST 20 25 06 ADDRESS
LIGHT TOTAL CITY TEL. NO.
SWITCH OVER 20 PLAN CHECK
LIGHTING FIRST 20 /�Q 2d APPLICANT
6 TOTAL
FIXTURES Cr�+ OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR,_ APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE—HTR.—AIR GOND. CITY IV"TEL. N0. --3
CLOTHES WASH. DISHWASH. LICENS R - CLASS
REG. NUMBER
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
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
O — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI IAM
THE LEGAL OWNER OF THE ABOVE L}L
1 — 10 3.00 DESCRIBED RESIDENTIAL PROPERTY. O
a U
PERMITEE �,rl ck�
10 — 50 5.00 SIGNATUREI C O
F-
50 — 100 10.00 w
DISTRICT NO. P CES ED BY p„
100 - 500 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES: —24 A*o-
PLAN CHECK FEE S Z 44 eeLc 761.
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. 0. CASH
0 91, _
2 2 1 cr .? 2 U 4 3.9 U
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE l