HomeMy Public PortalAbout9934 MILOANN ST_Electrical__ 76A669-CE806 92/75 ���L_.
APPLICATION FOR LECTRICA PERMIT
-• COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB ;
+ BUILDING AND SAFETY DIVISION ADDRESSWAI
llllllllllllllmPP LOCAIITY r ��
New Residential Bldgs& Pools EACH NO. FEE NEAREST
1 & 2-Family,Sq. Ft. $ .025 — $ CROSS ST.
OWNER OR
Multi-family Sq. Ft. . — FIRM NAME
Residential Swimming Pools MAIL 51,
ADDRESS
Outlets: Light,Switch.& Receptacle CITY Tel.No.
First 20 •50 PLAN C ECK
Additional .30 APPLICANT
ADDRESS
Lighting Fixtures
First 20 .50 CITY Tel'.No.
Additional .30 PERMIT
APPLICAN
Fixed Appliances Not Over 1 HP ADDRESS
Range_HeaterD.W._ CITY/f// �/ Tel.No
Oven_-Dryer_W.M._
LICFN5E OR
Top_ FAU W.H._ REG.NUMBER Class.
Hood_ Fan dMi—
ZASb1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
Dlsp-A.C. ��� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
Power Apparatus& Large Appliances �y ELECTRICAL WIRING.
Size&Type HP,KW, KVA,or KVAR 6/� I HEREBY CERTIFY AT I AM P ERLY GISTERED AND/OR
yp LICENSED AS REOUI BY LOS E ES T NO STATE OF
Up to 1 Incl. CALIFORNIA OR TH AM TH LEG L E F THE ABOVE
Over 1 to 10 Incl. 5.00 DESCRIBED REST AL PROP RTY.
Over 10 to 50 Incl. 10.00 PERMITEE
20.00 SIGNATUREFA
Over 50 to 100 Incl. FA
Over 100 30.00 DISTRICT rNO. P ES D BY
Services 0
0- 200 Amp. Under 600 V 12.50 INSPECTOR'S 0.
201.1000 Amp. Under 600 V 25.00 tRO
ROVALS. DATE SIGNATURE 9A
Over 1000 Amp. or Over 600 V 50.00 WER POLE
Temp. Power Pole&Appurtenances 10.00 LAB WORK
Sign with One Branch Circuit 10.00 CONDUIT
Additiondl Sign Branch Circuits 2.00 WIRING
(Other)
FIXTURES
POWER AUTHORIZED
UTILITY CO.NOTIFIED lit P&�It G
FINAL
PERMIT FEE (SubTotel) NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE $ 00 710
TOTAL FEE vim+
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA DA ION MA. CASH
r p - C O O l - 8 3 3 .91t AY: 2- 0 2 ~ «5 0A243
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE