HomeMy Public PortalAbout9445 LAS TUNAS DR_Electrical_6/27/1975_Temp power light pole 768663-CE806 10;72 APPLICATI0N ' tdkELECTRlCAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF.COUNTY ENGINEER FADDRESS r
BUILDING AND SAFETY DIVISION /�J"J �YR us
T - '
FOR APPLICANT TO FILL IN CROSS ST.. 65Q& Al e,+ La--r( S
OUTLETS NO. EACH FEE OWNER OR ;t)� 0C�VI
$ $ FIRM NAME
RECEPT._ MAIL q _
LIGHT 'TOTAL
FIRST 20 15 ADDRESS QQ�
CITY 7rA;D TEL. N0. Z
SWITCH_ OVER 20 .10
PLAN CH CK
LIGHTINGFIRST 20 25 1 APPLICA
TOTAL
OVER 20 ADDRESS _
FIXTURES .10 -
RESIDENTIAL APPLIANCES CITY, TEL. NO.'
PERMIT
RANGE DRYERWTR. HTR._ APPLICANT
STA. COOK DISP. •F.A.U. I ADDRESS -1 -
SPACE HTR. AIR COND.-
Cl TY JhM lbf TEL. N0.
'CLOTHES WASH. DISHWASH. , RSE EG.N NUMBER J 0 "� CLASS.. O
REG.
FAN OTHER 1.00 I 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
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAII AM THE LEGAL OWNER OF THE ABOVE r
1 - 10 3.00 DESCRICED RESIDENTIAL PROPERTY. f_
PERMITEE
10 - 50 5.00 SIGNATURE
50 - 100 10.00 f-
DISTRICT NO. SED BY W
100'- 500 15.00 'J- r! X r1
Z_
SIGN, GAS ,SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTO SSIGNATURE
TUBE, OR
MARQUEE- ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB.WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH'CONDUIT -
TEMP SERVICE,POLE,,&APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES'
POWER AUTHORIZED
UTILITY CO. NOTIFIED // �•.
FINAL
PERMIT FEE (SUB TOTAL) _ NOTES: 7 _x ®"A,• 07
.rte
PLAN CHECK FEE' - �� S r •r ^df.A"N�
PERMIT ISSUING FEE 3.00 , Q
TOTAL FEE !J
PLAN CHECK VALIDATION CK.' M.O. CASH PERMIT VALIDATION cK. M.D. CASH
Oa 5101 JUN 27 2 u ' .5.0 0 A,�b
SEE BACK OF-APPLICATION FOR COMPLETE SCHEDULE
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