HomeMy Public PortalAbout8818 GARIBALDI AVE_Electrical__ 70A000-CE,108 ,p,.2 APPLICAT1 R ELECTRICAL PE
COUNTY OF LOS ANGELES
DEPARTMENT OF CO-UNTY ENGINEER �8�� ✓�
BL14LOING AND SAFETY DIVISION
LOCALITY \ ��
NEAREST
FOR APP'LICANT TO FILL IN CROSS ST. S M
OUTLETS EACH FEe FIRM NAME o^.w
ER ORS
RECEPT. MAIL
FIRST 20 ADDRESS / i A
LIGHT TOTAL 2 r
OVER 20 CITY TQ/ti l TEL. NO. ^1
SWITCH— .10 PLAN HECK
LIGHTINGFIRST 20 APPLICANT
TOTAL
FIXTURES .10
OVER 20 ADDRESS
RESIDENTIAL APPLJANCES CITY TEL. NO.
PERMIT
RANGE , DRYEP WTR. HTR. ' APPLICANT Q. PI^�
STA. COOK DISP. F,A.U. ADDRESS (� f C 1
SPACE HTR. AIR GOND. CITY *CJr TEL. N0.
CLOTHES WASH. DISMWASH. REG UME6 `� CLASS.
FAN .OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ T-HIS APPLICATION
AND STATE THAT THE ABOVEt 10 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATrN6 WITH ALL COUNTY ORDINANCES AND STATE LAWS RKQULATIN$
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE B TYPE OVER TO `
I HERESY CERTIFY THAT I AM PROPERLY RE418TERED AND/DR
O — 1 1A0 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I M THE ES AL WNER OF THE ABOVE
1 — 10 300 OESCRIMI RESIDE 1 PRO PE Y,
E.00 PERMITEE
10 — 50
SIGNATURE DC
50 — 100 1ODO DISTRICT NO. PROC SED BY Lal
100 — 500 1 B DD O ugi
z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DAT!' Utr BIw+AT11RE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOT OVER 600VOLTS OR200Amp 8.00 UNDERSLAB WORK J
SERVICEOVER60OVbLTSOR20OAMp tODO ROUGH CONDUITAJ
TEMPSERVICE,POLE, &APPURTENANCES 0.00 WIRING
TEMP LIGHT OR,RECEPT, SYSTEM 5.00 FIXTURES
POWER AUTHbRIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CIIECK FEE 0R4 0ZC 1 �v
PERMIT ISSUIN-G FEE 3m Q O //2 eb, r�T -
TOTAL FEE
PLAN CHECK VALIDATION cK. M.O. LASH PERMIT VALIDATION CK. M.O. CASH
�JUL 22 2 D 6.7 5 a�
SEE BAC( OF APPLICATION FOR COMPLETE SCHEDULE