HomeMy Public PortalAbout6321 ENCINITA AVE_Electrical__ 76A663-CE606 10/72 APPLICATibei4P( 6 YV, u lL®R EUCTRICAII PERMIT
ERMI 1T • L1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINM. NEAREST
BUILDING AND SAFETY DIVISIOESS C �°
LITY Y �� �V
REST /FOR APPLICANT TO•FILL ISS ST. ` nl�oOUTLETS No. ER ORRECEPT.� S NAMEL �ofa �e/FIRST 20 RESSLIGHT_ J TOTAL -}JE / TEL. NO. - Q�
SWITCH_ � OVER 20 N CHECK
LIIGHTING FIRST 20 25 APPLICANT
F %TURES TOTAL
10OVER 20 ADDRESS
' .
RESIDENTIAL APPLIANCES CITY TEL No.
RANGE DRYEP. WTR. HTR._ PERMITAPPLICANT I ! n^
STA. COOK DISP. R" eF.A.U._ ADDRESS 3Z 4-,4 �}
SPACE HTR. AIR CONO. z,Q CITY f TEL. NO. 4-LOG
CLOTHES WASH. DISHWASH, v LICENSEREG. NUOR CLASS.
FAN—OTHER 1.00 /) HEHE1 ACKHOW LEDGE THAT I HAVE READ THIS APPLICATION
G AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITHAL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HIP. KW. KVA. CLEC TR ICIL WIRING,
S 1ZE & TYPE OVER TO
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
O - 1 1 00 LICENSED AS RE9T LOSANGELES COUNTY AND AOF
THAI 1
CALIFORNIA OR THAI AM THE LEGAL DWBER OE THEE ABOVE y
1 ' 10 3.00 DESCRIPEO RESIDENT L PROPER Y
POP RTYFERMI CL
O
10 - 50 5.00 SIGNATEE U
SIGNATURE.
O
50 - 100 1000 DISTRICT NO. ROCE99ED BY W
100 - Soo 15.00 J1 �( 1 GO
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPE 'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVICENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAD WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING _W_7/Y ol-
TEMP LIGHT OR RECEPT. SYSTEM •3.00 FIXTURES '
POWER AUTHORIZED
UTILITY CO. NOTIFIED y' '����y ;}�•w,, "
FINAL yr/, -7y �•�/ �
PERMIT FEE (SUB TOTAL) NOTES: K56r
'741
PLAN CHECK FEE r 10,((sj•—
PER MIT ISSUING FEE 3.00 3 0 L
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
4 22AN06 6 . 2 0 8.5 0 e9
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
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