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Home My Public Portal About6043 OAK AVE_Electrical__ 7SAe88C_ CgaoeB 18,78 APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN. JOB New Residential Bldgs.&Pools EACH. NO. FEE ADDRESS 1 &2 Finaily Sq. Ft. $ — $ LOCALITY Multi-family Sq.Ft. — NEAREST.4 CROSS ST. L Residential Swimming Pools OWNER OR - • f1+I Rfl4 nlnnne `o � �- SI/y! /i�3P Outlets: Light,Switch&Receptacle AMAI L DDRESS First 20 FJ y� _ Additibnal CITY Tel. No. PLAN CHECK Lighting Fixtures APPLICANT ` First 20 ADDRESS Additional 'CITY Tel.No. + Fixed Appliances Not Over 1 HP PERMIT'APPLICANT Range_ Heater_ D.W. ADDRESS _5A Oven Dryer L W.M. L Miv Top _. FAU W:H. CITY Tel.No. Hood Fan LICENSE OR C REG. NUMBER Class. Disp. A.C. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT, AND AGREE TO COMPLY CD Power Apparatus.& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING J. Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING. W o.. Up to 1 Incl. I HEREBY CERTIFY THAT.I AM PROPERLY REGISTERED ANOJOR Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OP CALIFORNIA OR THAT I AM THE LEGAL OWNER.OF THE ABOVE Over 10 LO 50 InCI. DESCRIBED RESID TIAL OPERTY. •�fn Over JO to 100 Incl: PERMITEE �/ + Over 100 SIGNATURE— DISTRICT IGNATURE DISTRICT NO. P ES BY Services 0 6 0-200 Amp. Under 600 V Ij 201 -1000 Amp.Under 600 V APPROVALS INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE TEMP.POWER POLE Temp.Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT IOther) WIRING JT-7 7 syr FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTI LI,TY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE - TOTAL FEE 19.4,4 � NOTES 1 PLAN CHECK VALIDATION CK. O. CASH PERMIT VALIDATION K. M.O. CASH 8 9 1 8.65 Asti - 7BAG63C_ oeeeas I2/7e . APPLICA 611 r06R6ELiifRfCAL PERMIT j- Al BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JOB New Residential Bldgs..&Pools EACH NO. FEEADDRESS ,&04/,,q ';V. r0,j A Ake- 1 &2 Finaily Sq. Ft. $• — $ LOCALITY ./c��►1' L.c G:•j/t Multi-family Sq.Ft. — NEARESTJ Residential Swimming Pools CROSS ST.. /9 IV OWNER OR [1 FIRM NAME � • a7 //r1 0 A9 J� Outlets: Light,Switch&Receptacle ADDRESS First 20 Additibnal CITY Tel. No. PLAN CHECK rn� Lighting Fixtures APPLICANT S/`3 First 20 ADDRESS Additional CITY. Tel.No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT /72 IOIW— Range_ Heater_ D:W. ADDRESS Oven _ Dryer — W.M. Top _ FAU _ W.H. CITY - Tel.No. Hood _ Fan LICENSE GNNUMBER Class. 0 Disp. _ A.C. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Power Apparatus& Large Appliances WITH ALL COUNTY 'ORDINANCES ANO STATE LAWS REGULATING I-.. Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING, o_ Up to 1 Incl. I HEREBY'CERTIFY: THAT 1 AM PROPERLY REGISTERED AND'/OR CAI Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF '• CALIFORNIA OR THAT I AM THE LEGAL OWNER OF HE ABOVE Over 10 to 50 InCI. DESCRIBED RESIDE TIAL P PERT Over 50 to 100 Incl. PERMITEE s Over 100 SIGNATURE DISTRICT -CE§AED BY Services � (/ 0-200 Amp. Under 600 V ! U 201 -1000 Amp. Under 600 V INSPECTOR'S APPROVALS DATE SIGNATURE Over 1000 Amp.or Over 600 V - TEMP.POWER POLE Temp.Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit ROUGH CONDUIT Additional Sign'Brench Circuits (Other) WIRING FIXTURES POWER AUTHORIZED E� PERMIT FEE (Sub-Total) UTI LITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE TOTAL FEE JD NOTES PLAN CHECK VALIDATION C14. M.O.' CACSlH•' PERMIT VALIDATION CK. M.O. CASH 0' 9 0"11Z JUN 18 -2 0 9.0 0 .rog