HomeMy Public PortalAbout6262 BURTON AVE_Electrical__ 016A663-CE806 11/70 APPLICATION FOR ELECTRICAL PERMIT
*COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDI s U/Y
BUILDING AND SAFETY DIVISION
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY � h/ G/�f.3/C•/Lp
NEAREST / f
FOR APPLICANT TO FILL'IN CROSS ST. /^Q/ C/✓
OUTLETS No. EACH FEE '�
OWNER Cr
RECEPT.,f $ S MAIL '
LIGHT T/O�TAL�
OVER 20 .Ip FIRST 20 Z5 Oa ADDRESS
SWITCH,3 - OrV
J=3� CITY y J( "re��C� - TEL. N0.
PLAN CHECK
LIGHTING FIRST 20 25 APPLICANT
TOTAL
OVER 20 ADDRESS
FIXTURES .10
APPLIANCES CITY TEL. NO.
PERMIT //''.
RANGE_DRYER_WTR. HTfl._ APPLICANT W B
STA. COOK_DISP._F.A.U._ ADDRESS 2,
QOieeo.
SPACE HTR. AIR CONO. CITY TEL. NO.
CLOTHES WASH.'_OISHWASH._ LICENSE NO. CLASS.
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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED A5 RED IRED BY LOS ANGELES COUNTY ANO STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO }
1 - 10 3.00 RESIDE IH, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. CL
SIGNATURE . O
10 - 50 5.00 OF PERMITTEE �/'//^lo C• V�iA u
50 - 100 1000 DISTRICT NO. [LASS ZONE PROCESS 0
100 - 500 1500
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: H
Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1:00 '
S ERV I CE NOT OV ER 600 VOL TS O R 200 AM P 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
S ERVI C E OV ER 600 VOLTS O R 200 AM P 10.00
TEMP.POWER POLE
TEMP.SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAR WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT 2 ��
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL).
UTILITY CO. NOT
PLAN CHECK FEE
FINAL X73
PERMIT ISSUING FEE 3.00
JOSEPH C. ROOHAN ,
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.D. CASH
I P�_ 5 3 6 21 2 n 6.00— Q
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE