HomeMy Public PortalAbout9027 RANCHO REAL RD_Electrical_1974-04-22 76A663-CEB0610/72 APPLICATION FOR EL CTRICAL PERMIT
COUNTY OF LOS.ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0. EACH FEE OWNER OR
FIRM NAM �t-�✓
RECEPT.� $ $ MAIL
LIGHT�_ TOTAL
FIRST 20 25 ADDRESS
SWITCH 10_ CITY TEL. NO.
`� OVER 20 PLAN CHECK
LIGHTINGTOTAL FIRST 20 .25 APPLICANT
FIXTURES
OVER 20 •10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO
CLOTHES WASH. DISHWASH. LICENNUMOSE R
REG. BER CLASSCr
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREI` TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW.KVA. ELECTRICAL WIRING.
SIZE & 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
CALIFOR R THAI' I AM THE LEGAL OWNER OF THE ABOVE }.
1 — 10 ! 3.00 Q� DES GRIBE RMPROPERTY. G
PERMIT v
10 - 50 5.00 SIGNAT RE
CD
50 - 100 1040 v
DISTRICT N0. FflOCESVD BY ly
100 - 500 15.006 n5 1cn
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTdrS SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 140 TEMP. POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200 AMP 1040 ROUGH CONDUIT
TEMP SERVICE,POLE,IN APPURTENANCES 5.00 WIRING7 7- 9p,1
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
r
POWER AUTHORIZED
UTILITY CO. NOTIFIED �+
FINAL z'` /f Jai•✓���3%� !S�
PERMIT FEE (SUB TOTAL) NOTES: - Gf &1-601-
PLAN
1-6OLPLAN CHECK FEE p/ �fi Ate' •
PERMIT ISSUING FEE 3.00
TOTAL FEE '7.2
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
6 3 4 CiZ APR 22 2 D x7.2 5 A98
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE