HomeMy Public PortalAbout10657 LORA ST_Electrical__ 76A6U_i E306-11/70 APPLICATION FOR ELECTRICAL�ERMIT
COUNTY OF LOS ANGELES
-DEPARTMENT
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BUILDING AND SAFETY YDIV DIVISION BUILDING q / �,^�i ldl-s 0
ADDRESS L (O V /
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COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY Ly
NEAREST 8
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FOR APPLICANT TO FILL IN CROSS ST, /
OUTLETS N0. EACH FEE
^� OWNER 00 J&
RECEPT.1 S $ MAIL
:LIGHT � TOTAL FIRST 20 O 25 J!" ® 0 ADDRESS
.:SWITCH_L7 S49 OVER 20 10o CITY TEL. N0:
(� PLAN CHECK
LIGHTING TOTAL
FIRST 20 Q .25 J!"� APPLICANT
'
20 OVER ADDRESS
FIXTURES �® OV .10
APPLIANCES CITY TEL. NO.
PERMIT y�
RANGE DRYER_WTR. HTR. APPLICANT O C/
STA. COOK DISP.-I--F.A.U. ADDRESS ..a �`J('/,�(?
SPACE HTR. AIR COND. _ CITY 1 TEL. NO.
CLOTHES WASH.- DISHWASH. J` ov LICENSE N0. CLASS. C a
FANI—OTHER1.00 I HEREBY 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 PROPERLY REGISTERED AND/Op
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO }_
1 - 103.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O
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10 - 50 5.00 OF PERMRITTEE '
50 - 100 10.00 O
_ fFIXTURE�
RICTNO. LASS ZONE PR CE E 1-
100 — 500 15.00 LU
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SIGN, GAS SIGN AND ONE CIRCUIT 5.00• ES: h
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TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200AMP 3.00
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00APPROVALS DATE INSPECTOR'S SIGNATURE
P.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
RSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
H CONDI UT
NG
ER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.00 JOSEPH ROOHAN
TOTAL FEE R SUPER VI NG ELECTRICAL ENGINEER,
PLAN CHECK VALIDATION cK. ''M.O. CASH' PERMIT VALDA N cK. _ M.O. CASH
63 4 7,' JUN 1.3 2 .D 2 .3 00 Fj
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE