HomeMy Public PortalAbout5336 NOEL DR_Electrical__ -MA55$ CESOG 11 71 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY `p
NEAREST
FOR APPLICANT TO FILL IN CROSS ST If
OUTLETS NOEACHI FEE
OWNER L /
RECEPT $ $
MAIL
FIRST 20 ADDRESS
LIGHT TOTAL 25 2
SWITCH y OVER 20 CITY TEL NOA7'1 61
IO PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES 10
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR APPLI r
STA COOK DISP F A U ADORELS
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH DISNWASH LICENSE NO CLASS
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 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 R TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDPoR
0 - 1 100 LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO O
- 10 900 RESIDE IN T E ABOVE DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE V
10 — 50 500 OF PERMITTEE
SO — 100 f0oo 11 G
DISTRICT NO CLASS ZO R ESSED
100 - 500 1500 �f(,� su
d
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER 600 VOLTS OR 200 AMP 900
SERVI CE OVER 600 VOLTS OR 200 AMP 1000 APPROVALS DATE INSPECTOR 3 SIGNATURE
TEMP POWER POLE
TEMPSERVICE POLE &APPURTENANCES 500
TEMP LIGHT OR RECEPT SYSTEM 900 UNDERSLAB WORK
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO NOTIFIED IA /71n I
PLAN CHECK FEE
PERMIT ISSUING FEE 900
3 FINAL /t T�
TOTAL FEE f 7S
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATI M 0 CASH
69334 JL12 2 u 5.75M V
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE%
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FELL M MAVILY OUTLINED 1 1 1 ONLY
DESCHUMON OF WORK
NUMBER Opp OUTLEM am CIR=rm
LOCATION 13Y ROOMS
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