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HomeMy Public PortalAbout6404 OAK AVE_Electrical__ 6 663-CEBO6 11-71 APPLICATION FOR ELECTRICAL PERMI'G COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS D e LOCALITY' FOR APPLICANT TO FILL IN NEAREST CROSS ST. OUTLETS NO. EACH FEE OWNER RECEPT._ $ S MAIL LIGHT TOTAL FIRST 20 25 ADDRESS OVER 20 CITY TEL. NO 1 r SWITCH_ .10 PLA CHECK LIGHTINGTOTAL FIRST 20 .25 APPLICANT FIXTURES OVER 20 .10 1 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRES SPACE HTR, AIR COND. CITY AF TEL. NO.29 CLOTHES WASH. DISHWASH. LICENSE NO.4 CLASS. A FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS 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 6 TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - tO 9.00 RESIDE IN, THE ABOVE ESCRIBED RESIDE PROPERTY. V 10 — 50 5.00 SIGNATURE OF OF PERMITTEE 50 — 100 10.00 U DISTRICT NO LASS Z PROC Y W 100 — 500 15.00 , © h SIGN, GAS D ONE CIRCUIT 5.00 NOTES: ? SIGN AN TUBE, OR MARQUEE ADDITIONAL CIRCUITS IAO SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 _} APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED `" 40 PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED / PLAN CHECK FEE - PERMIT ISSUING FEE 3.00 FINAL TOTAL FEE V r/ r PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION M.0 CASH 7 4.6 2� AUG1 1 2 D 0~ 02 o SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE.