HomeMy Public PortalAbout10152 NADINE ST_Electrical__ 7GA668 CES06 11/70
APPLICATION FOR ELECTRICA PERMIT
COUNTY OF LOS ANGELES
D B�UIRL.NG AND SAFETY DIVISIOMENT OF COUNTY N ADDRESS
COLEMAN W JENKINSSUPERINTENDENTBUILDINGLOCALITY L Cl,
NEAREST /�
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS o Ac FE
94
CO•tiS
RECEPT / $ $ MAIL
LIGHT TOT
FIRST 20 25 ADDRESS
CITY TEL NO
SWITCH OVER 20 10, PLAN CHECK
LIGHTING
FIRST 20 25 APPLICANT
T T L
FIXTURES OVER 20 t0 ADDRESS
APPLIANCES CITY w TEL NO
RANGE�DRYERJ-- HTR APPPERLICANT X4` L 6W1 6
STA COOK/DISP-/--F A U L ADDRESSe,Q aoX
SPACE HTR AIR COND CITY Af coAi91_o4 TEL NOy &7/'j7
CLOTHESWASH /DISHWASH_/_ LICENSE NO al97.z CLASS c^/D
FAN$_OTHER /O 100 1 HEREBY ACKNOWLEDGE THAT 1 NAVE READ THIS APPLICATION
(/ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING J WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
S1ZE B TYPE OVER TO
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE EGAL OWNER OF AND INTEND TO >_1 - 10 900 RESIDE N THE ABOVE D RISED RESIDENTIAL P OPERTY a
10 - 50 500 SIGNATURE A V
OF PERMITTEWAqxi�
Aw
50 - 100 10000
D18TRICT NO JCLAS9 ZONE PRO E ED
r
100 - 500 1500 IL
SIGN GAS IT S00 NOTES N
TUBE OR SIGN AND ONE CIRCUIT Z
MARQUEE ADDITIONAL CIRCUITS 10011
SERVICE NOTOVER 600 VOLTS OR 200 AMP 900
S ERVI CE OV ER 600 VO LTS O R 200 AM P 1000 APPROVALS DATE INSPECTOR S SIGNATURE
TEMP POWER POLE
TEMPSERVICE POLE &APPURTENANCES 500
TEMP LIGHT OR RECEIPT SYSTEM 300 UNDERSLAB WORK
ROUGH CONDIUT
WIRIN
FIXTUR
PERMIT FEE (SUB TOTAL) POWER AUTHORIKED
UTILITY CO NOTIFIED
PLAN CHECK FEE /
FAI
INAL (�
PERMIT ISSUING FEE 900 J artJOS
E H ROO AN
TOTAL FEE SUPER I NO ELEC L ENGINEEP
PLAN CHECK VALIDATION C M 0 CASH PERMIT V LID N eK M 0 CASH
LCo 5408;3 AM 11 D 2980- Q
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE