HomeMy Public PortalAbout9213 LONGDEN AVE_Electrical__ 76A'G63-CESOG 11-71 APPLICATION. FOR ELECTRICAL- PERMIT NJ-
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �- i x _
BUILDING AND SAFETY.DIVISION ADDRESS f /;' ;� �., j/ /jC ,rJ •JtJ t!-/.
LOCALITY' 7E/- !/y+:' G' i'7-Y+
NEAREST
FOR .APPLICANT TO FILL. IN CROSS ST. f',f �-,fel / -A
OUTLETS NO. EACH I FEE
OWNER
RECEPTj_ $ $ MAIL
FIRST 20 6j 25 w;�.-� ADDRESS10410 :%y:. 7/•t
LIGHT TOTAL 1 CITYTEL. NO.1!
-"i 's
SWITCH . 57 OVER 20• .10. Sr'
PLAN CHECK
LIGH,TI.NG� TOTAL FIRST 20 .P5 j APPLICANT
OVER 20 ADDRESS
FIXTURES . .IQ
RESIDENTIAL APPLIANCES CITY TELA NO.
PERMIT 'I !V ^.-. a .-n.
RANGE------D RYER-WTR. HTR. APPLICANT u A I r r L I'� / R +C_
STA. COOK-0.ISP. F.A.U.' ADDRESS., if •j:rf o o A
SPACE HTR. AIR COND. ' CITY Ai'i A b A' TEL: NO,,fy"Y= f
CLOTHES WASH. DISHWASH. LICENSE No:/1,t•J. CLASS.Cj 4]
FAN—OTHER- 1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS IFP.PLICATION
AND STATE-THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY l,•
MOTORS, TRANSFORMERS RATING 'WITH -ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC.. HP. KW. KVA. ELECTRICAL WIRING. _• }
SIZE & TYPE OVER TO .OL
_ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O _ 11.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY-AND STATE OF Q
i,�;y- pis i�+_• {.. {f• x CALIFORNIA OR THAT'1 AM THE LEGAL OWNER OF, AND INTEND TO V
1 — 10 3.00 RESIDE' IN, THE ABOVE DESCRIBED .RESIDENTIAL PROPERTY. W
j LIU
10,-.SO 5.00 SIGNATURE ,yam' /� f f Y.
OF PERMITTEE • t
SO'- 100 10.00
DISTRICTNO. ]CLASS ..ZONE l PROCESS-ED BY Q
Do.- Soo 15.00 j o E? �.r• t rl 'ti ' 1 d O
SIGN, GAS SIGN AND ONE CIRCUIT. 5.00 NOTES:
TUBE, OR W
F-
MARQUEE ADDITIONAL CIRCUITS 1.00
S.ERVICENOTOVER 600VOLTS OR200AMP 3:00
APPROVALS - DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR200AMP 10.00
TEMP.POWER POLE '
TEMP SERVICE,POLE,&APPURTENANCES 5.00
UNDERSLA'B WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT-•
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.0o..
TOTAL FEE
PLAN CHECK VALIDATION CK.. M.0. CASH PERMIT VALIDATION CK. Kc.o. CASH:
pry
.a a:7 k:aa !'•f C .t 's:� 'ia!!f '°" k,� r
y
•SEE BACK.OF APPLICATION FOR COMPLETE SCHEDULE