Loading...
HomeMy Public PortalAbout5732 NOEL DR_Electrical__ YG"GGa CeG°"°"° APPLICATION FO ELECTRICAL PE IT ' COUNTY OF LOS ANGELES C l r DEPARTMENT OF COUNTY ENGINEER �DDRESS ✓ Z ���+ //JJ BUILDING AND SAFETY DIVISION LOCALIT;67 �^ NEAREST FOR APPLICANT TO FILL IN CROSS ST OOYLETS NO EACHI FEE OWNER OR T�f S S FIRM NAME R u /•" WDe T RECEPTMAIL LIGHT TOTAL FIRST 20 25 ADDRESS OVER 20 CITY T TEL N &7666 SWITCH 10 PLAN CHECK LIGHTINGTOTAL l FIRST 10 O APPLICANT ADDRESS Jj OVER 20 FIXTURES 10 RESIDEN L APPLIANCES CITY g TEL NO RANGE DRYER_WTR HTR APPLICAN rlA/r0# / `�M� � ��gC STA COOK DISP F A U ADDRESS �r (��✓� a �\ SPACE HTR AIR COND CL CITY ci TEL NO CLOTHES WASH &f." L DISHWASH R�GE NUMBER CLASSW1O FAN OTHER 100 / Ito 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 18 CO CT AND AGREE TO COMPLY MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDI"ANCEB AND STATE LAWS REGULATING IND HEATERS ETC HP KW KVA ELECTRICAL WIRING SIZE i TYPE OVER TO I HlREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF yy CALIFORNIA OR THAI I A E LEGAL OWNER OF THE ABOVE 3 1 - SO 800 DESCRIBED REST NTIAL PERTY 10 - 60 5001 PERMITEE ` SIGNATURE V SO - 100 1000 1 DISTRICT NO PROC SSED B 100 - S00 15001 SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INEPECTOR 3 SIGNATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICENOTOVER 600 VOLTS OR 200AMP 800 UNDERSLAB WORK SERVICE OVER 600 VOLTS OR200AMP 1000 ROUGH CONDUIT TEMPSERVICE POLE &APPURTENANCES 500 WIRING `>-27-- TEMP LIGHT OR RECEPT SYSTEM 800 FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED FINAL 'ZZ PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 800 Al 5D TOTAL FEE . d PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION eK M o CASH 3 5 1412MT 23 2 © 1 810 •-% SEE BACK OF APPLICATION FOR COMPLETE BCNEDULE