HomeMy Public PortalAbout6004 BURTON AVE_Electrical__ )NA 663-C E00611-7, APPLICATION FOR ELECTRICAL PERMIT 1.1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUD LOING DO
BUILDING AND SAFETY DIVISION AooR Ess
LOCALITY 7Er1P1E G
NEAREST nQ fF
FOR APPLICANT TO FILL INCROSS ST. %, •!
DU TOWNER
},ETS NO. EA CX ffE
AIOf�
RECEPT._ S $ MAIL �( /�
LIGHT TOTAL FIRST 20 �0 ZB Ir �T-A^ ADDRESS Q�/ G'
OVER 20 ? V / CITY V� TEL. NO.
SWITCH l v .10 -30 PLAN CHECK
LIGHTING I FIRST 20 25 APPLICANT
1y TOTAL
OVER 20 ADDRESS
FI%TURES .10
RESIDENTIAL APPLIANCES CITU TEL. N0.
APPLICANT
PERMIT G G EG G
RANGE_ORVERWTft, HTR._
STA. COOK_DISP._/_F.A.U._Z_ ADDRESS. ipr � »� )x131.7
p
SPACE HTR.-AIR CON D. CITY #44C (/r{ TEL. N0. �7'-,2j r/�7
CLOTHES WASH. Y DISHWASH. / LICENSE NO. a/ 7� CLASS.G-/y
FAN_LOTHER 1.00b�f1� HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
�J IF 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 B TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 6
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO O
1 - 10 300 RESIDE IN, THE ABOVE DES 10ED RESIDENTIAL P OPE PT T. v
SIGNATURE -
10 - 50 5EE 00 OF PERMITTK
O
50 — 100 1000 G
DISTBICTNO. CLASS PPOC SSFO W
100 - 500 1500 -
Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES:
TUBE, OR
MAROUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER600 VOLTS OR 200AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UN DERSLAB WORK
TEMP LIGHT OR REC EP T. SYSTEM 3.00
ROUGH CONOIUT
WIRING 0 Lj —72
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) q
UTILITY CO. NOTIFIED
PLAN CHECK FEE ,
FINAL
PERMIT ISSUING FEE 3.00
TOTAL FEE ,s
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION tK. M.O. CASH
r f'„ 365 , 7s OCT 17 /2 A 24 .55A
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE