HomeMy Public PortalAbout5816 MYDA AVE_Electrical__ 76AG63-CES06 10/74 ,APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS,ANGELES
P'DEPARTMENT OF COUNTY ENGINEER JOB
r BUILDING AND SAFETY DIVISION ADDRESS 56].6 ,
LOCALITY TeWl:a City
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. HPrmos i
ER OR
OUTLETS NO. EACH I FEE -FIRM NAME Bauer
RECEPT._ MAIL
$ $ ADDRESS ]-6
LIGHT TOTAL FIRST 20 ,P5
SWITCH OVER 20 10 wa
CITY Temple Cit TEL. NO.
PLAN CHECK
LIGHTING lTOTAL FIRST 20 .25 APPLICANT
FIXTURES .10
)}
OVER 20 ADDRESS
RESIDENTIAL�PPLIANCES CITY - TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT Morales Electric
STA. COOK DISP. F.A.U. ADDRESS -
SPACE HTR. AIR COND. CITY Rosemead - TEL. NO. 280.-4260
CLOTHES WASH. 01SHWASH. LICENSE
EG NUMBER 6 CLASS.C•,•l0
FAN OTHER 1.00 / 1 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.
"•S13E & TYPE OVER TO
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL, ER OF THE ABOVE
1 — 10 3.00 DESCRIBED REBID TIAL PRO TY./f�
,r ! f(//j/ Chi
PERMIT R
10 - 50 8.00 SIGNATURE
50 - 100 10.00 DISTRICT NO. OCE S D BY "'1
a
100 - 500 15.00 e
SIGN, GAS SIGN AND ONE,CIRCUIT 5.00 APPROVALS o INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP l 3.00 4 0 UNDERSLAB WORK
SERVICE OVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL c�aJ�■-� ,/ "r-o-y
PERMIT FEE (SUB TOTAL) NOTES; l `�
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE ■��
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
8 6 b i"AY, 12 2 v ®5o
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE