HomeMy Public PortalAbout10781 DAINESWOOD DR_Electrical__ 76A 663-CE606,11_71 APPLICATION FOR ELECTRICAL PERM LJ
,COUNTY OF LOS ANGELES �'(
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS / J/
' LOCALITY JI +
NEAREST �°
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0. CH EAFEE ,
OWNER A .. - •.4
RECEP
LIGHT TOTAL T._1
$ 6 MAIL a'
J1\ FIRST 20 25 ADDRESS
CI
LIGHT
TY ^��_ ' TEL. NO.
SWITCHOVER 20 10
_ _ PLAN CHECK
GHTING TOTAL
LFIRST 20 25 APPLICANT
FIXTURES .10 I
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. N0.
PERMIT J.
RANGE_DRYERWTR. HTR._ APPLICANT /Ae4 A
STA. COOK_OISP._F.A.U._
ADDRESS 6 S~/A%/
SPACE HTR. AIR GOND. CITY •f + TEL. N0. . ,
CLOTHES WASH. OISHWASH._ LICENSE N0. CLASS. LY
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
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
D - 1 L00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY ND STATE OF a
'1a CALIFORNIA OR THAT I AM�J LEGAL OZa_
, NO INTEND TO
�If 1 - 10 3.00 '` REBIOE IN, THE ABO C ESCRIBED ROPERTY. O
(� U
SIGNATURE O10 - 50 500 OF PERMITTEE
50 - 100 1000 - ~
DIST TNO. .ASS Z�yB/� SS BY W
100 - 500 1500
N
Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICE NOTOVER 600 VOLTS OR 200 AMP / 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER600 VOLTS OR 200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
'UNOERSLAB WORK
TEMP LIGHT OR REC EPT. SYSTEM 3.00
' ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUT HORIZEO
UTILITY CO. NOTIFIED
PLAN CHECK FEE
""tt : FINAL 1
PERMIT ISSUING FEE 3.00 (�K/
TOTAL FEE ,da
PLAN CHECK VALIDATION CK. M.G. CASH PERMIT VALI '/ CK. M.D. CASH
; o a r9av 21 2 .0 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE