HomeMy Public PortalAbout6348 GOLDEN WEST AVE_Electrical__ /A°°,-CEV�B 11,70 APPLICATION FOR ELECTRI L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING / 6
BUILDING AND SAFETY DIVISION ADDRESSland44L1
COLEMAN W. JENKINS N N OF IN LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS 3T,
OUTLETS D' OWNER
RECEPT� MAIL
LIGHT. T TAL FIRST 20 25 �) ADDRESS
OVER 20 CITY TEL. NO.
SWITCH Na10 PLAN CHECK
FIRST 20APPLICANT
LIGHTING TOTAL
OVER 20 ADDRESS
FIXTURES .10
CITY TEL. N0,
APPLIANCES
PERMIT e
RANGE DRYERWT HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS p
SPACE HTR. IR CID CITY TEL. NO.
CLOTHES WASH.�DISHWASH. LICENSE NO, $ CLASS. C - d
FAN OTHER -DO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTOR/, TIIANBFORI.IERS RATING WITH ALL COUNTY ORDIXA NC E/ AND STAT[ LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE k TYPE OVER TO
I HaR[[Y CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O — 1 IAO LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 — 10 300 R[/ID[ IN, THE ABOVE DESCRIBED RKSIDENT11L PROPERTY. O
SIGNATURE -If / V
10 - SO GOO OF PERMITTEE 4/ Oe
50 - 100 1WOO 0
011 T711CT N0. CLA/■ ZONE PR Y
100 — 500 15.o0
try
SIGN' GMSSIGN AND ONE CIRCUIT 5.00 IF
Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1A0
SERVICENOTOVER 600 VOLTS OR 200AMP --DO
ROVALS DAT[ UIarECTDR'a IIQMTLIFSERVICE OVER 600 VOLTS OR 200 AMP 10.00
OWER POLE
TEMP SERVICE,POLE, h APPURTENANCES 8.00
AB WORK
TEMP LIGHT OR RECEPT, SYSTEM 3.00ONDIUTUTHORIZED
rPERMITISSUING
(SUB TOTAL) CO. NOTIFIED
E
7 J
FEE 3.00JO PH C. ROOHAN
i SUPERVISING ELECTRICAL ENGINES
ig A'5
PLAN CHECK VALIDATION CK. 'M.0. CASH PERMIT VALIDATION CK. M.O. cAaH '
Q� 1 3 U 9 JUL 8 2 D 2 5.2 5�
` /EE SAO( OF APPLICATION FOR COMPLETE SCHEDULE