HomeMy Public PortalAbout9511 GIDLEY ST_Electrical__ 7DA66S-CEE06 10,7Z APPLICATION FOR ELECTRICAL PERMIT
^ COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER �� ��� Gl1XEY TI?
OUILDING AND SAFETY DIVISION
LOCALITYNEART
FOR APPLICANT TO FILL IN CROSS T.
OUTLETS N q.
ILA CH FEE OWNER OR
FIRM NAME iT.4' UGvP�'
RECEPT._ MAIL
FIRST 20 2A ADDRESS t> C
LIGHT TOTAL CIS, L'lyOZC �Ty TEL. NO. lj/�J1
BWITCH OVER 20 f0
PLAN CHECK
LIGHTING TOTAL FIRST 20 26 APPLICANT
OVER 20 ADDRESS
F I XT U REB .10
RESIDENTIAL APPLIANCES CITY EL. NO.
PERMIT
RANGE DRYI:i_WTR. HTR. APPLICANT
STA. COOK D18P. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWA8H. R£O HLEM+I0 CLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AMD AGREE TO COMPLY
MOTORS, TRANSFORMERS— RATIN[ WITH ALL COUNTY ORDINANCES AND STATE LAWS_IEGULATING
IND. HEATERS, [TC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE k TYPE OVER TO
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STAT[ OF
CALIFOR-NIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
1 — 10 3,00 DESCRIBED R[S IDENT IAL PROPERTY. p
PERMITEE C'
10 — b0 BAO SIGNATURE CD
50 — 100 10A0 DISTRI N0. OCE D BY 4
100 - 500 15.00 1 Z
SIGN, GAS SIGN AND ONE CIRCUIT 8.00 APPROVALS DATE SMSMTUR[
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1A0 TEMP. POWER POLE
SERVICE NOT OVER 800VOLTS OR200AMP DAO d UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 10 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 0.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM DAO FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE DAO 3 Q d
TOTAL FEE Cj Q
PLAN CHECK VALIDATIOK CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
7 HOV 14 2 e 6.0 0 e�o �u
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