HomeMy Public PortalAbout9211 LONGDEN AVE_Electrical__ •7GA663`,CEBOG 11-71 APPLICATION: FOR ELECTRICAL PERMIT Ll .
6OUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
DD ESS
' BUILDING AND SAFETY DIVISION
LOCALITY' C/
NEAREST '
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0. EACH FEE
OWNERjy1Y 5 E
$ $ _Aa
C12 (2n
RECEPT. ADDRESS YO -L 1 bC
LIGHT Z. TOTAL
AIL
FIRST 20 z5 �'
SWITCH ✓ OVER 20 10 CITY ,4SA 'D� TEL. NO. y' -j
PLAN CHECK
LIGHTING 1 FIRST 20 .25 APPLICANT
)} TOTAL
FIXTURES —2-- .10
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. No,
PERMIT ��
RANGE DRYER_WTR. HTR, APPLICANT // / 1 �
STA. COOK DISP. F.A.U. ADDRESS, 13s'
SPACE HTR. AIR COND. CITY 24Tj`,4 TEL. NO S'7711/
CLOTHES WASH. DISHWASH. LICENSE N0./`?re,1 3 CLASS. .-.(�
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 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.
BIZE B TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
SOW 5' 0 - 1 1,00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 3.00 RESIDE I.N, THE ABOV DESCRIBED RESIDENTIAL PROPERTY. 0
SIGNATURE
10 - 50 5.00 OF PERMITTEE O
50'- 100 10.00 0
DISTRICTNO. CLASS SEED BY IU
oo I fP l 100 - Soo f 15.00 5 Oro
h
SIGN., GASSIGN AND ONE CIRCUIT 5.00 NOTES: 67 Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
StRVICEOVER 600 VOLTS OR 200AMP 10.00 0 00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT, SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED _
PLAN CHECK FEE UTILITY CO. NOTIFIED
FINAL
PERMIT ISSUING FEE 3.00• 3 OO r
TOTAL FEE
PLAN CHECK VALIDATION cK. M.0. CASH" PERMIT VALIDA I M.0. CASH-
.
Lko 7 7 5 6 RJ -AUG 28 2 D 07.
.7 5- v
- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE