HomeMy Public PortalAbout6267 AVON AVE_Electrical_11/15/1971_service amps 76A663-CE806 12/75 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 4
BUILDING AND SAFETY DIVISION d l; q 1", fji or r
FOR APP 1 ANT TO FI IN "+ 57
<at ?tx1 .fir..
Vew Residential Bldgs & Pools EACH NO. F7JTNEAREST
1 & 2-Family, Sq. Ft. $ .025 — $
OWNER OR
Multi-family Sq. Ft. .02 — FIRM NAME �'I1f3iC'BVPS yf41
Residential Swimming Pools 20.00 AMAIL
DDRESS r
Dutlets: Light, Switch & Receptacle CITY Tel.No.
First 20 .50 PLAN CHECK
Additional .30 1 APPLICANT
ADDRESS
'_ighting Fixtures
First 20 .50 CITY Tel.No.
Additional .30 PERMIT
APPLICANT •Y4ri;:_ s_7�
=fixed Appliances Not Over 1 HP ADDRESS
Range_Heater�D.W._ CITY
Oven_Dryer_W.M._ "> , Yl el No. T ?9s `
LICENSE OR '
Top _ FAU _W.H._ " REG.NUMBERt�r Class. Olin
Hood_Fan
DIS A.C. 2.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
P•— --_ AND STATE THAT THE'ABOVE IS CORRECT AND AGREE TO COMPLY
W ITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
'ower Apparatus& Large Appliances >_Size& Type HP, KW, KVA, or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF pp��
Up to 1 Incl. 2.00 CALIFORNIA OR THA1 I AM THE LEGAL OWNER OF THE ABOVE lY
DESCRIf:ED RESIDENTIAL PROPERTY.
5.00
Over 1 to 10 Incl. W
Over 10 to 50 Incl. 10.00 PERMITEE
Over 50 to 100 Incl. 20.00 SIGNATURE L!6
Over 100 30.00DISTRICT NO. PROCESSED BY
iervices �
0- 200 Amp. Under 600 V 12.50 }pp
r L INSPECTORS 5
201-1000 Amp. Under 600 V 25.00 APPROVALS DATE SIGNATURE. 0.
Over 1000 Amp. or Over 600 V 50.00 TEMP.POWER POLE
UA
temp. Power Pole & Appurtenances 0.00 1
UN DERSLAB WORK
iign with One Branch Circuit Ao.00 ROUGH CONDUIT
4dditional Sign Branch Circuits ;t"C 2.00 WIRING
Other) �`"�- _
FIXTURES
POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL -
'ERMIT FEE �i " ,2
ZSub-Total) n:, NOTES
Iii c�
i T
'LAN CHECKING FEE (One-FouErth►Prmit Fee)
1 '
'ERMIT ISSUING FEE ;4 $6.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
SEE BACK OF APPLICATION F:d R,,'COMPLETE SCHEDULE