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HomeMy Public PortalAbout10847 FREER ST_Electrical__ 78A663-CE806 10,74 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS �� 8 7 7 /12QJLJ BUILDING AND SAFETY DIVISION LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER NAME rr�� $ $ R EC EP T.3-2 MAIL FIRST 20 Q 0 f ADDRESS LIGHT �o` TOTAL a Q jr CITY TEL. NO. SWITCH OVER 20 xg �/ PLAN CHECK FIRST 20 !� A APPLICANT LIGHTING TOTAL OVER 20 ADDRESS FIXTURES 10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT r+/I L1" ' RANGE DRYERWT HTR. // APPLICANT �I( (�,() STA. COOK DISP. F.A.U.,{0-0 ADDRESSS__�. /C, / SPACE HTR. AIR COND. CITY SCJ TEL. NO. VYd/84 CLOTHES WASH.Voo- OISHWASH.je—�' LICENSE OR rJ REG. NUMBER / CLASS.C-16 FAN OTHER L� IYOV h 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 1 J v 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 ` I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 � 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR. THAI I AM THE LEGAL OWNER OF THE ABOVE CL �\ 1 - 10 300 DESCRIBED RESIDENTIAL PROPERTY. CC) 10 - 50 500 PERMITEE - SIGNATURE E CD U 50 - 100 1000 ILLJ DISTRICT NO. P E ED BY 0- 100 - 500 1500 �i Z SIGN, GAS=,,G ONE CIRCUIT 5.00 APPROVALS C! DATE INSPECTO ' SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVICE NOTOVER 600 VOLTS OR 200 AMP 3V UNDERSLAB WORK SERVICEOVER600VOLTS OR200AMP 1000 ROUGH CONDUIT - TEM PSERVICE,POLE, &APPURTENANCES 5.00 WIRING -x'.20/ TEMP LIGHT OR RECEPT. SYSTEM '300 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED " FINAL PERMIT FEE (SUB TOTAL) NOTES; �� '•� I ���� 'G�/ "� PLAN CHECK FEE vy�, PERMIT ISSUING FEE -a90 6-0 TOTAL FEE PLAN CHECK VALIDATION CK. M O. CASH PERMIT VALIDATION M 0. CASH 1 701r'o-OCT 15 2 36.6`5a�� SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663C-,CE6Y5B 12/76 APPLICA ON FOR ELECTRICAL PERMIT . cz_t BUILDING D SAFETY DIVISION FOR APPLICANT TO FILL IN JOB New Residential Bldgs.& Pools -EACH NO. FEE ADDRESSV' 1 &2 Finaily Sq. Ft. $ — $ _ LOCALITY `T J-11K L.15- C 1r Multi-family Sq. Ft. I — NEAREST tq Residential Swimming Pools CROSS ST. Z)4A.ra JJA)I OWNER OR FIRM NAM Cs Yt✓t ��/ Outlets. Light, Switch & Receptacle MAI L First 20 ADDRESS Additibnal CITY z5t7 V_ Tel. No. 2 O PLAN CHEC Lighting Fixtures APPLICANT First 20 ADDRESS Additional " CITY Tel. No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range Heater_ D.W. ADDRESS Oven Dryer W.M. Top _ FAU W.H. CITY' Tel No. >- Hood Fan LICENSE OR d CD REG NUMBER Class. V Disp. A.C. � I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Q AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING W Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING, Up to 1 Incl. z 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. LICENSE. AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPERTY. Over 50 to 100 Incl. it il/J PERMITEE � /�• ` �.LC� Over 100 SIGNATURE �( DISTRICT NO. O SSED Y Services p 0-200 Amp. Under 600 V D !J 201 - 1000 Amp. Under 600 V APPROVALS DATE IN CT R'S Over 1000 Amp. or Over 600 V S GNATURE TEMP. POWER POLE Temp. Power Pole& Appurtenances ' UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING Ja-7-77 FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL, S'7 PERMIT ISSUING FEE NOTES TOTAL FEE PLAN CHECK VALIDATION CK. M.O. ASH PERMIT-VALIDATION K: M.0 CASH 4. J8 JUL 6 2 ©' 7.70or'