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HomeMy Public PortalAbout9952 BOGUE ST_Electrical__ 76A663-CE80611/70 APPLICATION FOR ELECTRI AL PERMITU COUNTY OF LOS ANGELES DEPARTMENT-OF COUNTY ENGINEERBUILDING BUILDING AND SAFETY DIVISION ADDRESS (� COLEMAN W.-JENKINS, SUPERINTENDENT'OF BUILDING LOCALITY / NEAREST FOR APPLICANT TO FILL IN .CROSS ST. Q OUTLETS No EACH FEE OWNER ' $ S • RECEPT._ MAIL FIRST 20ADDRESS S LIGHT TOTAL 21 CITY TEL.,NO.��(p•- SWITCH OVER 20 10 PLAN CHECK - LIGHTING FIRST 20 25 APPLICANT TOTAL OVER 20 ADDRESS FIXTURES 10 APPLIANCES CITY. TEL. No. PERMIT RANGE DRYER-WTR. HTR. APPLICANT STA. COOK DISP. F.A•U. ADDRESS tom.- SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. 01SHWASH. LICENSE NO. .CLASS. FAN 1 OTHER 100 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR 0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES-COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO �•% 1 — 1O 300 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY C- O 1SIGNATURE U 0 - 50 500 OF PERMITTEE OG 50 - 100 1000 DI,S TRICT NO. CLASS • ESSED BY 0 100 - 500 1500 Z��� tz-/ W CL SIGN, GAS=SIGN ONE CIRCUIT 500 NOTES: - Z TUBE, OR MARQUEEADDITIONAL CIRCUITS 100 SERV•ICENOTOVER600VOLTS OR200AMP 300 3 V SERVICEOVER600VOLTSOR200AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 500 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 300 _ ROUGH CONDIUT WIRING FIX TURtS PERMIT FEE (SUPOWER AUTHORIZED B TOTAL) • 'UTILITY CO. NOTIFIED PLAN CHECK FEE I • D FINAL PERMIT ISSUING FEE 300 JOSEPH RO-HAN TOTAL FEE O® SUPERVI.SIN ^EL RICAL ENGINE PLAN CHECK VALIDATION CK M 0. CASH PERMIT VCIDATIO,V, CK. M CASH' /[ �.�� : z vA 40' ,t-• -� SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE .. 76A663-CE80611/70 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION' •ADDRESS v ' COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT'TO FILL�IN CROSS ST. OUTLETS NO, EACH FEE 7 OWNER �'• 2i $ $ RECEPT._ MAIL ' FIRST 20 ADDRESS LIGHT TOTAL 25' OVER 20 CITY - TEL. NO. � � L SWITCH 10 PLAN CHECK ' LIGHTING 1TOTAL FIRST 20 25 APPLICANT ADDRESS FIXTURES 10 J} OVER 20 CITY TEL. N0. APPLIANCES PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. -F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. .FAN OTHER 100 ��•I 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION V _ 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 O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 300 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. 0 SIGNATURE 10 — 50 500 OF PERMITTEE 50 — 100 1000 DISTRICTNO. CLASS ZOp� - P CESSE V 100 — 500 1500 �C% SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES: Z TUBE, OR I - MARQUEE ADDITIONAL CIRCUITS 100 SERVI CE NOT OVER 600 VOLTS OR 200 AMP 300 APPROVALS DATE INSPECTOR'S SIGNATURE S ERVI CE OVER 600 VOLTS OR 200 AM P 10.00 TEMP.POWER POLE ' TEMP SERVICE,POLE, &APPURTENANCES 500 UNDERSLAB WORK TEMP LIGHT OR RECEPT: SYSTEM 300 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) 41 .UTILITY CO. NOTIFIED PLAN CHECK FEE PERMIT ISSUING FEE 300FINAL / 7, - i,1 JOS P C. ROO AN . & TOTAL FEE SUPERVI IN✓�LECTRICAL ENGI-NE. PLAN CHECK VALIDATION CK. M 0 CASH PERMIT V`A_LIDA- 1'ON c� - M 0. CASH 6-.5'2;n 12 o a� SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE