HomeMy Public PortalAbout5563 HALLOWELL AVE_Electrical__ 76A663-CE60610/74 APPLICATION FkELE CAL PER 7
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER OB f
BUILDING AND SAFETY DIVISION ADDRESS �� 7/.�! ,. a'
f s
JZ
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACHII FEE OWNER OR
$ Is FIRM NAME
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
OVER 20 CIT p y"4/, TEL. NO.
SWITCH_ .10 1 PLAN CHECK
LIGHTING TOTAL FIRST 20 25 1
APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
RANGE DRYER_WTR. HTR._ PERMITAPPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY i` � TEL. N0.
CLOTHES WASH. OISHWASH. LICENSE OR CLASS j�O
REG. NUMBE -
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAI 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 R G STERED AND/OR
ENSED AS RED UIR
0 — 1 1.00 LICED BY LOS ANGELES COU Y AND STATE OF
CALIFORNIA OR THAI- I AM THE LEGAL OWN F THE ABOVE a-
1 — 10 3.00 DESCRIBED RES D IAL PROPERTY. U
PERMITEE
10 - 50 5.00 SIGNATUR
U
50 - 100 10.00 W
DISTRICT1 ROCE EO BY h
100 - 500 15.00 4
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 - APPROVALS DATE INSPECTR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 �'. UNDERSLAB WORK
SERVICEOVER600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRINGfwro4fz. 71 cI11; `
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL -,
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 3100
TOTAL FEE U®
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
8 7 3-P AUG 5 2 U 9.Q 0 0
' SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
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