HomeMy Public PortalAbout6047 1/2-6047 3/4 GOLDEN WEST AVE_Electrical__ Go'71-
76A663A-CE806A 4/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF.LOS ANGELES
,.i DEPARTMENT OF COUNTY ENGINEER BUILDIN Q
BUILDING AND SAFETY DIVISION ADDRESS y(
LOCALITY
JNEAREST
FOR APPLICANT TO FILL IN CROSS ST,
OUTLETS NO EACH FEE
OWNERCL R
RECEPT.A $ $ MAIL
LIGHT TOTF/�L FIRST 20 Q 0 ADDRESS
SWITCH O 6 OVER 20 g� � Q CITY TEL NO
PLAN CHECK
LIGHTING FIRST 20 0 G� APPLICANT
IADDRT/�OTAL ItFIXTURES !� OVER 20 / I
ESS
RESIDENTIAL APPLIANCES CITY TEL. NO
PERMIT
RANGE DRYER_WTR HTR_ APPLICAN CS t�
STA COOK DISP -2- F A.0 ADDRESS 7C) _
SPACE HTR. nn � AIR COND CITY , TEL NO.q 3
CLOTHES WASH v DISHWASH.� (((JJJ LICENSE N0. CLASS ^16
FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O
MOTORS, TRANSFORMERS RATING WITALL COUNTY ORDINANCES AND STATE LAWS REGULATING CD
IND HEATERS, ETC HP KW KVA - ELECH TR'I CAL WIRING
,SIZE & TYPE OVER TO p
I HEREBY CERTIFY THAT I AM PROPERLY E ISTERED AND/OR
0 - 1 LICENSED AS REQUIRED BY LOS ANGELES CO NT AND STATE OF W
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO a
1 - 1 O RESIDE IN, THE AS RESI E IAL PROPERTY10 - 50 SIGNATURE OF PERMITTE 'B-1A
50 - 100
DISTRICTNO CLASS WE
ESSED BY
100 - 600
SIGN, GAS SIGN AND ONE CIRCUIT NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICENOTOVER600VOLTS OR20OAMP
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AMP
TEMP.POWER POLE
n
TEMP SERVICE,POLE, &APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM
ROUGH CONDIUT
WIRING 2-7-.7i
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) --
' UTILITY CO NOTIFIED -
PLAN CHECK FEE
^` FINAL
PERMIT ISSUING FEE V
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH - PERMIT VALIDATION M O CASH
4 4-6-ti Cf_F 3o 2 0 5 5.0 0