HomeMy Public PortalAbout9170 CAMINO REAL AVE_Electrical__ 76A663-CE60610/-n APPLICATION FOR ELECTRICAL PERMIT .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER C) Q
BUILDING AND SAFETY DIVISION // 4f 62!Zli
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN OCyROOSS ST.
OUTLETS FIR MNZE �• ✓G
R EC EP T.—KMA I L ..�
LIGHT� TOTAL
FIRST 20 O ADDRESS Li
2OVER 20 CITY S /V / TEL. NO.
SWITCH- {� .10 PLAN CHECK
LIGHTINGFIRST 20 / APPLICANT
TO AL
OVER 20 ADDRESS
FIXTURES .10
RESIDENTIAL APPLIANCES CITY TEL. NO.
RANGE DRYER—/—WTR. HTR._, PERMIT
STA. COOK-2.DISP./F.A.U. ADDRESS r
SPACE HTR. AIR COND. C11Y TEL. NO.
CLOTHES WASH. DISHWASHI— 7 4CA CLASS.,e," �
FAN I OTHER 1.00 / * �O HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AIID STATE THATTABOVE UI CORRECT AND AGREE TO COMPLY
HE
MOTORS, TRANSFOIbARRS RATING WITH ALL C011 NTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE B TYPE OVER TO
IHERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
E NIED Al RED IRE
0 - 1 1.0 LICO BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA ORTHAT I AM THB LEGAL OWNER OF THE ABOVE }.
1 — 10 dA0 DESCRIBED RESIDENTIAL PROPERTY. , OO
PERMITEE 8
10 — 50 0.00 SIGNATUR F�-
60 — 1O 1000 DISTRICT NO. PROCESSED BY W
100 — 600 IBM
8I GN, GAS SIGH AND ONE CIRCUIT B.00 APPROVALS DATE SMPP;TCWS•ilMTUIE
TUBE, OR
MARQUES ADDITIONAL CIRQIITS 1.0 TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10 ROUGH CONDUIT
TEMP SERVICE,POLE,A APPURTENANCES &CO WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL IT
PERMIT FEE (SUB TOTAL) '13, �� NOTES:
PLAN CHECK FEE 00PERMIT ISSUING FEE 3 W
TOTAL FEE 'D
PLAN CHECK VALIDATION Cq. M.O. CASH PERMIT VAS IDATION CK. M.O. CASH'
l 7 D '1 ts. -
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
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