HomeMy Public PortalAbout9647 GARIBALDI AVE_Electrical__ s
76A663-CE80610/72 APPLICATION FOR ELECTRICAL PERMIT
' COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS I !
LOCALITY �•
CAA e ci 1
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. �� Ir /'/'� ✓�..r.
0 TLETS NO. EACH FEE OWNER OR T�^1 �•
$
$ FIRM NAME
RECEPT. MAIL
FIRST 20 25a ADDRESS ✓i C /
LIGHT TOT L
AL
20 CITY P r TEL. NO. /(0
SWITCH OVER 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
y�
FIXTURES OVER 20 tp V ADDRESS
RESIDENTIAL APPLIANCES CITY ,OJ TEL. NO.
RANGE DRYER. WTR, HTR._ PERMIT
CANT A - C'►'
STA. COOK DISP. F.A.U. ADDRESSk1� ,C,�,• �'/'t(f,
SPACE HTRJA[R COND. CITY � -� TEL. NO.
CLOTHES WASH. DISHWASH. RECENSE OR
G. NUMBER 127203
q ��/`20 L CLASS. V
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
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
0 - 1 100 LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE
DESCRICED RESI N L PR PERTY. d
1 - 10 300
PERMITEE f` U
10 - 50 5.00 SIGNATURE `�^'"
50 - 100 10.00
DISTRICT NO. /" PROC D BY W
1 00 - 500 t 5.00 `�i o � /� N
v Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 3.DO UNDERSLAB WORK
SERVICEOVER600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEIPT. SYSTEM 3.00 FIXTURES d'
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES: ;�• - .� -
PLAN CHECK FEE .-.
PERMIT ISSUING FEE 3.00 3
+g
TOTAL FEE 0-0
L/
PLAN CHECK VALIDATION CK. M.O. CASH ERMIT VALIDATION CK. M.O. CASH
i
LSEE BACK OF APPLICATION FOR COMPLETE SCHEDULE