HomeMy Public PortalAbout5432 MCCULLOCH AVE_Electrical__ 76A663-CE80610/72 ##PLICATION FOR ELECTRIC] T ERMIT '
COUNT;;OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
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BUILDING AND SAFETY DIVISION
TY
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FOR APPLICANT TO FILL IN ST.
OUTLETS N0, EACH FEE OWNER OR ~
$ $ FIRM NAM
RECEPT. TOTAL MAIL
LIGHT
FIRST 20 25 ADDRESS Z .
7 <2 . n 0/ q
OVER 20 CITY TEL. N jS V i6
SWITCH1 .10 PLAN CHECK
FIRST 20 25 APPLICANT
FIXTURES
LIGHTING TOTAL
OVER 20 ADDRESS 10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT 1 T
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR
COND.-CITY TEL. NOAKM
LICENSE OR f�
CLOTHES WASH. DISHWASH. CLASS. l7
REG. NUMBER
FAN OTHER 1.00U 0 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 & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY GIS TERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES C Y AND STATE OF
CALIFORNIA OR THAII AM THE LEGAL W R OF THE ABOVE C
1 - 10 3.00 DESCRIBED RESIDE T L PROPERT Y. Bit
C7
V
PERMITEE
10 - 50 5.00 SIGNATURE p
F-
50 - 100 toADW
DISTRICT NO. O d=SED BY �
100 - 500 15.00 Q �
SIGN, GAS ][SIGN ONE CIRCUIT 5.00 APPROVALS DATE INSPEC 'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER 600VOLTS OR200AMP 3.00 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING ,a•9�
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES 01
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL 22-7s 191-
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 ,3
TOTAL FEE 16.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH
4 9 9 JUN 14 2 D 1 6.5 5 &S8
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE