HomeMy Public PortalAbout4825 CLOVERLY AVE_Electrical__ 76A663-CE80611-71 APPLICATION46i ELECTRICAL PERMIT
COUNTY OF LOS ANGELES v•.,
DEPARTMENT OF COUNTY ENGINEER ADDRESS els"s
BUILDING AND SAFETY DIVISION y I
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OUTLETS NO. EACHI FEE
$ is OWNER /t�!i.�llGrl �. 1 4.
RECEPT._ MAIL y
`
LIGHT TOTAL
FIRST 20 25 ADDRESS
/
SWITCH �y OVER 2010 CITY lj) �.+l.jAJ TEL. NO.
PLAN CHECK .r
LIGHTING TOTAL FIRST 20 25 APPLICANT
OVER 20 ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES CITY TEL. No.
PERM
RANGE DRYER_WTR, HTR. APPLIICANT j(' L��=1r•�Zt J�:/�l� .lam%
STA. COOK DISP. F.A.U. ADDRESS iq
SPACE HTR, AIR COND. CITY TEL. N0.�1I!
CLOTHES WASH. DISHWASH. LICENSE NO. / CLASS. 4^!v
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
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR
o - 1 1,00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY, AND STATE OF }
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO a
1 - 1O 3.00 RESIDE IN, THE AB DESCRIBED RESIDEN L PR PERTY. Q
SIGNATURE j /i!+a/ V
OF PERMITTEE � 1 O
50 - 100 10.00 C
DISTRICTNO. CLASSPROCE ED BY
r^
100 - 500 15.00 ` 160 — N
- I q
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: /�fG •� Q.yu /
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
S ERVI CE OVER 600 VOLTS OR 200 AM P 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT, SYSTEM 3.00
ROUGH CONDI UT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
PLAN CHECK FEE UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 3.00 FINAL '.31
TOTAL FEE d>S>s
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VAL1F) N CK. M.O. CASH
' ',,A Co 07 S f3 ?AN -,7 Z I0;SON.
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE /.. -