HomeMy Public PortalAbout9416 PENTLAND ST_Electrical__ 7 6A663'CE806'10/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES )
DEPARTMENT OF COUNTY ENGINEER AooREss 6 h a
BUILDING AND SAFETY DIVISIONAid
. LOCALITY, M kr
NEAREST
FOR APPLICANT TO FILL IN CROSS ST ''
OUTLETS NO EACH FEE OF RM NAME
RECEPT y 1 r $
$ MAIL
— /
LIGHT_ TOTAL FIRST 20 25
ADDRESS 1p
OVER 20�� CITY TEL NO
SWITCH_ 10 PLAN CHECK
LIGHTING . FIRST 20 25 APPLICANT
TOTAL
FIXTURES OVER 20 10 1 ADDRESS
RESIDENTIAL APPLIANCES - CITY TEL No
PERMIT 1
RANGE—DRYER WTR• HTR_ APPLICANT '
STA COOK_DISP _F A U ADDRESS.
SPACE+HTR AIR GOND ClT,y TEL NO
CLO TH ESIWASH DISHWASM r ' LICENSE OR
REG NUMBER 1 CLASS
FAN_OTHER' 100 /
nENE BI 4NE THAT HAVE PEND THIS APPLICATION
AND STATE THAA THE ABT THE ABOVE IS CORRECT AND AGREETO COMPLY
MOTORS TRANSFORMERS RC ALL COUNTY ORDINANCES AND STATE LAWS pIEEGU LAYING
IND HEA TER9 ET[ HP RW VA . , ELECTRICAL WIRING
91ZS_E TYPKW K ELE
E OVER TO
HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Q _ 1 ,GO LICENSEDAS REQUIRED ST Los ANGELES AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER
NEp OF THE ABOVE y
1 — 10 300 OES.RIfkD RESIDENTIAL PROPERTY 0 a
PERMITEE
10 — 50 500 SIGNATURE (yy� i l;
O
50 — 100 1000 DISTRICT NO PROCESSED BY I-
100
100 — 500 1500 �Y�I
J/ Z_
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INWECRDR S SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICE NOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAS WORK ,
SERVICEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES e500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES r
w POWER AUTHORIZED
. � UTILITY CO NOTI FIEO +
1 FINAL
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE +
PERMIT ISSUING FEE 300 '
TOTAL FEE
PLAN CHECK VALIDATION CR M oASH PERMLT,VALIDATION M o CASH
�ff�C 3U 2 'u 3.7 5 eyu
i
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE