HomeMy Public PortalAbout4919 CAMELLIA AVE_Electrical__ 76Aes3_C\B0S,I0:7 `APPLICATION -FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER roe
• BUILDING AND SAFETY DIVISION ADDRESS
LOCALITYNEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0. EACH FEE OWNER OR
//nn FIRM NAME �pv d•Q� /ry- OG/r•9
' RED EP T.A S S MAIL" T
LIGHT FIRST 20 25 Oa ADDRESS
TOTAL CI TV TEL. NO.
. `�3 OVER 20 10 - 0 Tc L6" eiT '
SWITCH PLAN CHEC l,
GHTING
LFIRST 20
T 25 APPLICANT
FIXTURES 10
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OVER 20 ADDRESS � � •Hs�i C/
_
RESIDENTIAL APPLIANCES CITY �^ r TEL. NO. dd
PERM T,
RANGEDRV ERWTR. HTR._ APPLICANT /,/,� O ` L'
STA. COOK- OISP. F.A.U. App RESS / � �
SPACE HTR.-J_AI R.CON❑. CITY .'r TEL.
LICENSE OR
CLOTHES WASH. DISH WASH.__ _,/ REG.NUM3ER CLASS.
FAN_OTHER 1.00 U u T HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT.ANO 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
HEREBY CERTIFY THAT AM PROPERLY REGISTERED ANO/OR
D - 1 100 LICENSED AS REQUIRED By
LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAITHAI 1 AM TME LEGAL OWNER OF THE ABOVE y
1 - 10 3.00 DESCRIDED RESIDENTIAL PROPERTY, d_
U
10 - 50 500 PERMITEE
SIGNATURE
Be:
CD
50 -.100 1000 U
DISTRICTAO. :PROCES p yA
100 - 500 10.00 S (SIGN
L. OR SIGN AND ONE CIRCUIT BOB
APPROVALS DATE NSPEMR•S SIGNATURE
TU BE,'OR
MARQUEE AUDIT.IONAL CIRCUITS 100 TEMP. POWER(POLE
SERVI CENOTOVER600VOLTSOR200AMP -3,00 UNDERSLAS WORK
SERVICE OVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE, POLE, 6 APPURTENANC ES 5.00 WIRING �7 T4nOPi
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER_AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) 0 'NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 '•�
TOTAL FEE
t
PLAN.CHECK VALIDATION CK. M.O. CASH . PERMIT VALIDATION crc. M.D. CASH
`9 9 1:BSEP` 18 2 0n 4.0 5
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SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE