HomeMy Public PortalAbout10909 FREER ST_Electrical__ 76ABE3A-CE808A 4/72 APPLICATION F ELECT ICAL PERMIT
' COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY
NEAREST �-
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETF[
OWNER
RECFPT. MAIL
LIGHT TOTA
FIRST 20 ADORESS
CITY TEL. NO.
SWITCH OVER 20 PLAN CHECK
FIRSt 20 D APPLICANT
LIGHTING TAL
FIXTURES
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. N
PERMI
RANGE DRYERWTR. HTR._ APPLI
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE N0. CLAS
FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STAT[ THAT THE ABOVE 13 CORRECT AND ASR[[ TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. H[A.TERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE B TYPE OVER TO
I HERESY CERTIFY2AT AM PROPE REGISTERED AND/OR
Q - LICENSED AD R[OU [ OlANGELE LINTY AX❑ STATE OFCALIFORNIA OR T T IE LEGAL R OF, AND INTEND TO
' - 10R[11D[ IX, T A ��CRIDE SIDE XTIAL PROPERTY.
10 - 50 SIGNATURE
OF PERM I
SO - 100
DI/TRICT NO. CLASS IuAkED BY
tQD - 500 .b$
SIGN, GAS SIGN AND ONE CIRCUIT NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICENOTOVER 600 VOLTS OR 200 AMP
APPROVALS DAT[ DWKCZOR'B SHIIMTum
SERVICEOVER 600 VOLTS OR 200 AMP
TEMP.POWER POLE
TEMP SERVI CE,POLE, &APPURTENANCES
TEMP LIGHT OR RECEPT. SYSTEM UNDERSLAB WORK
ROUGH CONDI UT / 7
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH
581�gGT 8 2 1 1.00
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