HomeMy Public PortalAbout5434 MCCULLOCH AVE_Electrical__ 76.0663-CE80611-7f� APPLICATION FOR ELECTRICAL PERMIT �--�
COUNTY OF LOS ANGELES
DEPARTMENT BUILDING AND SAFE YY DIVISION AD RDI St�J
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0. EACH FEE
OWNER
RECEPT. $ $ MAIL
FIRST 20 Q ADDRE S /f /G..
LIGHT TOTAL OVER 20 /J 10 / �� CITY L 1 ( �/ TEL. NO d��G 4/_
SWITCHj&l [ PLAN CHECK
LIGHTINGTOTAL FIRST 20 1 .P5 APPLICANT
FIXTURES -1- .f0
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
qq� I (r � I C.
STA. COOK DISP. I F.A.U. ADDRESS, jfCJ�j ,
SPACE HTR. AIR COND. �7 CIT + � TEL. N0cyl
CLOTHES WASH. DISHWASH. s 3 LICENSE N0. ij 17.5 CLAS<'_��
FAN OTHER 1.00 /T 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
dd V 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
J� I HEREBY CERTIFY THAT I AM PROPERLY R EKED AND/OR
0 - 1 1.00 00 LICENSED AS REQUIRED BY LOS ANGELES COON Y A D STATE OF C}.
CALIFORNIA OR THAT I AM THE LEGAL OWNER O A D INTEND TO
1 - 10 3.00 RESIDE IN, THE V DESCRIBED RESIDE TI L PROPERTY. V
SIGNATURE
10 - 50 5.00 OF PERMITTEE _ 0
50 - 100 10.00 b
DISTRICT NO. CLASS ZONE PRO ESSE BY NJ
100 - S00 15.00 ft-
G N
SIGN, GAS ][SIGN ONE CIRCUIT 5.00 NOTES: ?
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOTOVER 600 VOLTS OR 200 AMP g 3.00 3 �d
SERVICE OVER 600 VOLTS OR 200 AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK
ROUGH CONDIUT
&,peful
WIRING s
FIXTURES 3 e?`j 5/1
POWER AUTHORIZED Q'SJ
PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED rr� ��ry
PLAN CHECK FEE .
PERMIT ISSUING FEE 3.00 _3 joe FINAL 7 i7s
TOTAL FEE 0-5"
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION (o M.O. CASH
5 0 O X JUN 14 20 , 1 8.0 5
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE