HomeMy Public PortalAbout6252 BURTON AVE_Electrical__ 7BA683-CEBOS 10/74 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION - ADDRESS - �.
Ve.
- LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. Ow
OUTLETS NO. E-1 OWNER OR
S $ r FIRM NAME Px)
RECEPT.—� MAIL
LIGHT_
TOTAL
FIRST 20 28 ADDRESS
OVER 20 CITY TEL. NO.
SWITCH_ .10 PLAN CHEtK
FIRST 20 28 APPLICANT
F %TURES to
_
OVER 20 ADDRESS
LIGHTINGL � TOTAL
RESIDENTIAL APPLIANCES CITY TEL. No.
PERMIT
RANGE_DRYER_WTR. HTR._ APPLICANT Q jt tlgWl-t
STA. COOK DISP._F.A.U._ ADDRESS S�/
SPACE HTR, AIR COND. CITY J OCh TEL. NO. 7 qq
CLOTHES WASH. DISHWAS H._ REG. NUMBCENSE ER Z CLASS. &./o
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 8, TYPE OVER TO
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 1,00 LICENSED AS REQUIRED BY LOS.ANGELES COUNTY AND STATE OF y
CALIFORNIA OR THAT I AM THE LEWRTHEd
1 - 1D 3.00 OESCRIP.EO RE510 TIAL Pq ERTTCL.
U
10 — 50 8,00 PERMITEE
SIGNATUREO
H-•
U
50 — 100 1000 DISTRICT N0. - y
100 — 500 15.00 SZ
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DAT
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 00 UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED � �Py
FINAL �� ��' t�•v,� �`
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE '
PERMIT ISSUING FEE 3.00 QQ
TOTAL FEE - 00
PLAN CHECK VALIDATION CK, M.O. ASM PERMIT VALIDATION CK. M.0 CASH
�t 8:0 , 25 2 .a,. 6.0 0.A`
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE / -