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HomeMy Public PortalAbout6366 OAK AVE_Electrical__ 76AG63C- CE6068 12/78 APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION'// `` FOR APPLICANT TO FILL IN ADDRESS v� J � New Residential Bldgs.&Pools EACH NO. FEE Oftk 1 &2 Finaily Sq. Ft. $ — $ LOCALITY EM Atr C`t `N. Multi-family Sq.Ft. — NEAREST Residential Swimming Pools CROSS ST. OWNER OR FIRM NAME ` Outlets: Light,Switch&Receptacle MAIL s, ADDRESS N.04-sr Ayr, First 20 /i p Additibnal CITY Ct T.I. No. PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS �l t Additional CITY �: 1 I• - Tel.Wo. PERMIT Fixed Appliances Not Over 1 HP APPLICANT IRU 1i EF LC ItC ca Range_ Heater_ D.W. _ b V1Nb Oven — Dryer_ W.M. _ ADDRESS Top _ FAU _ W.H. CITY , r—m Tei.No. 774A7LlJ Hood Fan REG NUMBER 34 "743 Class.C-to p Disp. A.C. C.7 1'HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGRHB TO COMPLY Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Size•&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING, I.IJ� Up to 1 Incl.. I HEREBY CERTIFY THAT.1 AM PROPERLY REGISTERED AND/OR Over 1 to'10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA'OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PR ERT . Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURftE Services DISTRICT NO. PROC-EMED BY 0-200 Amp. Under 600 V �'0 ' 201 -1000 Amp. Under 600 V QD APPROVALS DATE INSPECTOR'S Over 1000 Amp.or Over 600 VSIGNATURE • TEMP.POWER POLE l Temp.Power Pole&Appurtenances UNDE.RSLAB WORVG 0�/ Sign with One Branch Circuit ` Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES ]POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee.) FINALATI PERMIT ISSUING FEE S� NOTES la�Q TOTAL FEE � �� L{ PLAN CHECK VALIDATION CK. M.O. CASH PERMITV714CK. M.O. CASH 74 8c SEP 12 E D 1 9.5Q ©"4