HomeMy Public PortalAbout6267 AVON AVE_Electrical_9/21/1976_outlets, light fixtures, power apparatus 6
76A663C- CE806B 12,76 APPLICATION FOR ELECT111CAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN JOB
EACH NO. FEE ADDRES f
rResidentialal Bldgs. & Pools Sq. Ft. $ — $ LOCALITY
Sq. Ft. — NEARESTCROSSST.wimming Pools OWNER OR
FIRM NAME,Switch&Receptacle F MAI L
First 20 ADDRESS
Additional CITY Tel. No.
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 1 ADDRESS
Additional
CITY Tel. No.
PERMIT JG �3 Fixed Appliances Not Over 1 HP' APPLICA TRange Heater_ D.W. ADDRESSOven Dryer W.M.Top FAU W.H. CITY el. No.Hood Fan LICENSE B REG. NUMBER 0�I Class.Disp. A.C. I HEREBY ACKNOWLDGE THAT I HAVE READ THIS APPLICATIAN $TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPPower Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATISize&Type HP, KW, KVA,Or KVAR ELECTRICAL WIRING.
00
z
Up to 1 Incl. I HEREBY C TIFY T AT 1 AM PR E LV REGISTERED AND/OR
Over 1 to 1O InCI. LICENSED AS EOUIR BY LOS AN L S COUNTY AND STATE OF
CALIFORNIA R TH I AM THE G OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBE ES NTIA OPERT/
Over 50 to 100 Incl. PERMI
Over 100 SIGN U
DISTRICT NO. P ES D BY
Services 6 049
0-200 Amp. Under 600 V
201 - 1000 Amp. Under 600 V A PPROVALS E INSPECTOR'S
Over 1000 Amp.or Over 600 V SIGNATURE
Temp. Power Pole&Appurtenances
UNDERSLABWORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT r`
(Other) WIRING
FIXTURES
]POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE NOTES 4
TOTAL FEE /094S
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
�0
2 7 b�cep 21 2 ® ) 1 a.5 d
I