HomeMy Public PortalAbout9202 LEMON AVE_Electrical__ 768663-CF.806 10/72 APPLICATIW"ELrADDRE
AL PERMIT - \
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER p�
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN,OUTLETS NO EACH FEE S $RECEPT. FIRST 20
LIGHT TOTAL 25 -
OVER 20 CITY _ _ ��' TEL NO. Z
SWITCH 10 PLAN CHECK/
LIGHTING TOTAL
FIRST 20 25 APPLICANT
OVER 20 ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES CITY TEL NO.
PERMIT
RANGE DRYER WTR. HTR APPLICANT
STA COOK DISP F.A U. ADDRESS
SPACE HTR. AIR COND CITY VV TEL. NO
CLOTHES WASH DISHWASH LICENSE OR CLASS
REG. NUMBER
FAN OTHER 100HEREBY 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,PR OPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE
1 - 1O 300 Cl-
DESCRIP.ED RESIDENTIAL PROPERTY C:)
10 - 50 500 PERMITEE
r U
SIGNATURE '�� p
I-
50 - 100 1000 DISTRICT NO. PROCESS D BY U
W
CL
1 00 - 500 15 00 �` \ Z
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR' SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICE NOT OVER 600 VOLTS OR 200 AMP 300 Qd UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING
i
TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 60 iQ� _v e. c=` v�„�..., .^.:.,,,� 6 t>✓JPPtr
TOTAL FEE v 0
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M'o CASH
3 8 773 SEP 28 2 D 1 1 .50A
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE /y
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