HomeMy Public PortalAbout9455 OLIVE ST_Electrical__ 76A683-06806 10/74 APPLICATION FOR LECTRI AL PERMIT
COUNTY .OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER I ADDRESS
13UILDING AND SAFETY DIVISION tq
LOCALITY
FOR APPLICANT TO FILL IN I NEAREST ^,O
CROSS T.
OUTLETS NO. EACH I FEE OWNER OR ~
FIRM NAME
RECEPT._ S 5 MAIL /�
FIRST 20 .25 ADDRESS 0,
LIGHT TOTAL �9
CITY /TEL. N0.
SWITCH__ OVER 20 ,Ip
PLAN CHECK
LIGHTINGTOTAL FIRST 20 .25 APPLICANT
FIXTURES OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYERlf�WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U, i ADDRESS
SPACE HTR. AIR COND. CITY vu
TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR
REG, NUMBER CLASS.
FAN OTHER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THISAPPLICATION
o AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. .EATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1,00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF }
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE O„
1 - 10 9.00 DESCRIBED RESIDE IAL PROPERTY. O
V
PERMITEE
10 - 50 8.00 SIGNATURE C3
SO - 100 IOAO La
DISTRIC 0. PRO SED BY p
100 - 500 18.00 6
SIGN, GAS
TUBE, OR SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR' IGNATURE
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200AMP 3.00 UNDERSLAS WORK
SERVI CE OVER 600 VOLTS OR 200AMP 10.00 I ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 i FIXTURES
POWER AUTHORIZED -2-
UTILITY CO. NOTIFIED
FINAL S-f-� Ap----,
PERMIT FEE (SUB TOTAL) ! NOTES:
PLAN CHECK FEE
PERMIT.ISSUING FEE 8.00 �T V
TOTAL FEE oy
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
I
I
W
s 4�� IN 46. 2 D 1 2..0 0 A�6
,_
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE '