HomeMy Public PortalAbout9563 BISBY ST_Electrical__ 76A66SA-CES06A 4/72 APPLICATION FOR ELECTRICAL PERMIT LI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING L� /
BUILDING AND SAFETY DIVISION ADDRESS pJ
TI
LOCALSr
NEAREST /
FOR APPLICANT TO FILL IN CROSST
,
OUTLETS FE
s OWNER d
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20 ADDRESS
CITY 491M TEL r
SWITCH_ OVER 20
PLA CHE
FIRST 20 APPLICANT
LIGHTING TOTAL
FIXTURES
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TELNO.
PERMIT
RANGE DRYER WTR. HTR._ APPLICANT C S
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR CONS. CITY TEL �y
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS PLATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE 6 TYPE OVER TO
I HERESY CERTIFY THAT 1 AM PROPERLY REGISTERED AXD/OPL
0 — 1 LICENSED AS REQUIRED SY LOS ANGEL Y AND STATE OF
CALIFORNIA OR THAT I AM THE LEG 1! R AND INTEND TO
1 — 10 RESIDE IN, THE A OVE Sc ED R EXT I,E PROPERTY.
10 - 50 SIGNATURE,
OFPERMITT
50 - 100
DISTRICTNO. CLASS X� O ESSED BY.
100 - 500 t0 �d PR
SIGN, GAS SIGN AND ONE CIRCUIT NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICE NOT OVER 600 VOLTS OR 200 AMP
APPROVALS DAT[ UfMwEC"fOR'S 11461ATUIt
BERVI CE OVER 600 VOLTS OR 200 AMP
TEMP.POWER POLE
TEMP SERVICE,POLE, h APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O, CASH PERMIT VALIDATION CK. M.O. CASH
17 b 90C) A93
Q✓.