HomeMy Public PortalAbout4847 DOREEN AVE_Electrical__ 76A663A-CE806A 4/72 AIPPU TG ®R CELE TRBWAW PERMIT
COUNTY OF LOS ANGELES �( l� �'(evY IJ
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS CJ i
LOCALITY
NEAREST G
FOR APPLICANT TO FILL IN CROSS ST. 6�YJL Z
OUTLETS N0. I EACH I
$ 5 OWNER
RECEPT._ MAIL-
LIG
AIL
LIGHT_ TOTAL
FIRST 20 ADO.ESS ,
/ p
SWITCH_ OVER 20 CITY TEL. NO. yyy(a JOS
PLAN CHECK
LIGHTING 1 FIRST 20 APPLICANT
J) TOTAL
FIXTURES
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CIT TEL. NO.
PERMIT
RANGE_DRYERWTR. HTR._ APPLICANT
STA. COOKDISP. F.A.U. ADDRESS
SPACE HTR. AIR CONO. CITY TEL. NO.
CLOTHES WASH. DISHWASH,_ LICENSE Nr'—
FAN_OTHER1 HEREBY ACBNDW LEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 0
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING [p
IND. HEATERS, ETC. NP. K. NVA. ELECTRICAL WIRING. —
SIZE & TYPE OVER TO Q
HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR C3
Q — I LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF (,
CALIFORNIA OR THAT AM THE LEGAL OWNER OF, AND INTEND TO
1 — 10 RESIDE IN, THE AB,O,VVE/E DESCRIBED RESIDENT PROPERTY. y
OF PERURE��� � z
10 — 50 OF PERMIT ��i(y<
50 — 100 - "
DISTRI TNO. CLASSZONE PRO ESSED BY
100 — 500 "I)g
SIGN, GAS SIGN AND ONE CIRCUIT NOTES:
TUBE, OR
MARQUEE ADOITIONAL CIRCUITS
SERVICENOTOVER 600 VOLTS OR 200AMP I .(
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200AMP
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE A
FINAL U- )Z-761
PERMIT ISSUING FEE
TOTAL FEE U�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. usH
4 9 O�OCT 4 2 D 9,0 0 Arts
� �id�