HomeMy Public PortalAbout5740 ENCINITA AVE_Electrical__ 76 A663-CESOP,10/]S APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERioe J�
BUILDING AND SAFETY DIVISION ADDRESS /r✓<--
LOCALITY c
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0. EACH FEE OWNER OR
�p" 5 $ FIRM NAME
RECEPT. MAIL
FIRST 20 ADDRESS
LIGHT TOTAL ZS �d CITY TEL, N0.
SWITCH OVER 20 JO PLAN CHECK O
GHTING TOTAL ZS
LFIRST 20 APPLIC
FIXTURES .f0
I '
OVER 20 ADDRESS
RES DENTIAL APPLIANCES CITY 17 TEL. NO.
PERMIT
RANGE_DRYER_WTR, HTR._ APPLICANT /
STA. COOK_DISP._F.A.U._ ADDRESS (�
SPACE HTR. AIR GOND. CITY � TEL. GG-
CLOTHES WASH._OISHWASH._ REG NUMBER _ CLASS.C.
FAN_OTHER 1.00 , 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERSRATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND, HEATERS, ETC, HP. KW. KVA. ELECTRICAL WIRING.
91ZE 6 TYPE OVER TO
IHEREBY CERTIFY THAT I AM PROPERLY REGI E AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY A TAiE OF
CALIFORNIA OR TNAT THE LEGAL OWNER OF E ABOE Vd
1 - 10 3.00 DESCPIFEO REBID PROPE Y. � O
U
10 - 50 5.00 PERMITEE ¢
SIGNATURE O
H
U
• 50 - 100 1000 DISTRICT N0. PROCE SED BV y
100 _ 500 15.00
06 Z
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOWS SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERV I CE NOT OVER 600 VOLTS OR 200A p 3.00 o UNDERSLAS WORK
SERVICE OVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING — '.,91, /iE/AOS/
TEMP LIGHT OR RECEPT. SYSTEM -3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED ��^,
FINAL X_-24 76 F
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 3
TOTAL FE QO
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION •CK. M.G. CASH
2 7 5;`AUG 26 2 .D - 1 1.0 0 a
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SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE