HomeMy Public PortalAbout9245 LOWER AZUSA RD_Electrical__ 76A663-CE806 10772 APPLICATION F ELECTAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS
LOCALI TY
NEAREST
FOR APPLICANT TO .FILL IN CROSS ST.
OUTLETS N0. EACH FEE OWNER 0
$ S FIRM N
RECEPT._ MAIL
LIGHT
FIRST 20 f ADDRESS
� �
SWITCH_ TO OVER 20 ,10
CIT TEL. N0.
- PLAN CHECK
LIGHTING
FIRST 20 25 APPLICANT
TOTAL OVER 20 ADDRESS
FIXTURES AD
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. QOOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH.. DISH WASH. LICENSE OR
REG.NUMBER ® C'f CLASS.r,.,/
FAN OTHER1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
_ AND STATE THAT THE ABOVE 15 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 IN TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR TH AM QTHE LEGAL WNE
PROP
PERMITEE F THE ABO
I
— 1O 9.00 DESCRIBED RES
1 .
�"`� Ci
1.0 — 50 5.00 SIGNATURE 1=
O
50 — 100 10.00
DISTRICT N0. v ED BY W
100 — 500 15.00 �j`
V c 0 Z
SIGN, GAS,
TUBE,,OR SIGN AND ONE CIRCUIT 5.00 , APPROVALS DATE INSPECTOR'S SIGNATURE
- -
MARQUEE .ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE-
SERVI CE-NOT'OVER 600 VO TS OR 200.A P DERSLAB WORK
SERVICE OVER 600 VOLTS ORAE �t0A0 R GH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES: /V � S'�
PLAN CHECK FEE �`i� , ® 1`� p��y -7
PERMIT ISSUING FEE 3.00
TOTAL FEE t
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION M.O. CASH
2 8 2 ltoFEA '0 2 0 1 8.5 0 0;�
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
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