HomeMy Public PortalAbout9020-9022-9022 1/2-9024-9026-9028 RANCHO REAL RD_Electrical_11/10/1975_outlets r 7EMPIE CITY
76A6113-1061074 APPLICATION FOR ELECTRICAL PERMIT c 1i.c)
COUNTY OF LOS ANGELES
f D%BARTMENT OF COUNTY UILDING AND SAFETY DIV SIONER ADDRESSYd.Li 9020-9038 Rancho Real td.
LOCALITY � 2 Zile City
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH I FEE OWNER OR
Is FIRM NAME
RECEPT._ MAIL
LIGHT 23 TOTAL FIRST 20 20.. Zg 8 00 1
ADDRESS r59 5926 le C1 Blvd.
T
CITY �+••t'le City TEL. NO.
SWITCH 23 OVER 20 3 f0 45 PLAN CHECK
LIGHTING TOTAL 3 FIRST 20 .25 APPLICANT
FIXTURES 23
OVER 20 •+D 145 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT C1° McGee Electric Inc.
RANGE DRYER_WTR. HTR. APPLICANT St
STA. COOK DISP. F.A.U. ADDRESS P.O. BOX 2186
SPACE HTR. AIR COND. CITY Pomona TEL. No. 628-1221
CLOTHES WASH. DISHWASH. REG•NUMBER 153378 CLASS.C-10
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
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT 1 AM THE EGA OWNER OF THE ABOVE
1 - 10 3.00 DESCRIBED RESIDEN L PRO Y. 6i
PERMITEE CD
C
10 - so. 5.00 SIGNATURE t-•
V
SO - 100 10.00 W
DISTRICT N0. OCE ED BY .�
100 - 500 15.00 Q 8 Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTO 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 600VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING .r®r��
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
2 T C 3 00POWER AUTHORIZED
UTILITY CO. NOTIFIED �)
FINAL
PERMIT FEE (SUB TOTAL) 19 90 NOTES: v
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 T 50
TOTAL FEE 24.40
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CASH
6 7 3 PNOV 10 2 2 4.4 0 n
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE