HomeMy Public PortalAbout8730 GARIBALDI AVE_Electrical__ """}°"°" APPLICATION FOR CT L RIC& PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERt
BUILDING AND SAFETY DIVISION ss
LOCAL1 TY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS No. RACHI
F IMER
J (.VL VeN1
RECFPT._ MAIL /� Y` �
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LIGHT TOTAL FIRST 20 25 ADDRESS �+ p
SWITCH_ OVER 20 .10 CI * E« TFL. N0, d7 7��3
PLAN CHECK
LIGHTING TOTAL FIRST 20 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
'
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE_L_DR(-KR�WTR. HTR. APPLICANT
STA. COOK . DISP.,j_F.A.U._ ADDRESS
SPACE HTR. AIR GOND. CITY TEL. N0.
CLOTHES WASH.—/LDISHWASH-1- 4O. HUMrER CLASS,
FAN OTHER / I H[R[SY ACKNOWL[DG[ THAT I NAV[ READ THIS APPLICATION
AND !TATE Tk4AT TH[ ASOVA IS CORRECT AND ASR[[ TO COMPLY
MOTORS, TRANSFORMERS PLATING WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING
IND. HEATERS, [TC. HP. KW. KVA. [L[CT111CAL WIRING.
SIZE ■ TYPE OVER TO
I H[R[SY C[RT IFY THAT I AM PROPERLY R[GIST[R[D AND/DR
0 - 1 140 LICENSED AS RAO IR[D BY LOS ANG[LU COUNTY AND STAT[ OF
CALIFORXIA OR THAT I AM THE LEGAL OWNER OF TH[ ASOV[
1 - 10 300 DESCRIBED RESIDENTIAL PROPERTY. O
PERMITEEOC
10 - SO 5.00 31 GNATI R
50 - 100 1040 DISTRICT NO. CESS BY
100 - 600 1540 Q ` x
V/
810N, OAS SI ON AND ONE CIRCUIT 0.00 APPROVALS DAT[ OW[CTOR• TUNE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1= TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200Amp 3.00 UNDERSLAS WORK
SERVI CE OVER 600 VOLTS OR 200 AMP 10 ROUGH CONDUIT
TEMP SERVICE,POLE, 6 APPURTENANCES 0.00 WIRING
TEMP LIGHT OR RECEPT, SYSTEM 340 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONC M.O. CASH
4 4 0 2 D 1 6.5 0 e
S[[ SAO( OF APPLICATION FOR COMPLETE SCH[DUL[
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