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HomeMy Public PortalAbout6149 ROSEMEAD BLVD_Electrical__ a 76A663C- CE808B 12/75° APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools. EACH INO, FEE ADDRESS 1 &2 Finally Sq. Ft. $ $ LOCALITY 'r Multi-family Sq.Ft. NEAREST Residential Swimming Pools CROSS ST, OWNER OR FIRM NAME Outlets: Light,Switch&Receptacle MAI L (�', ADDRESS First 20 /' +�9 Additibnel CITY ` r . No. (p��JJ /g e PLAN CHECK Jv Lighting'Fixtures Q APPLICANT First 20 J • Z� ADDRESS Additional CITY T61.No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range_. Heater_ D.W. _ AD.DRESS Oven Dryer _ W.M. Top FAU W.H. CITY^ ' No. ��—.3. � /� > Hood Fan LICENSE G NNUM OR Q Class. / CD Disp. A.C. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V Power Apparatus&Large Appliances WITH ALL COUNTY 'ORDINANCES AND STATE LAWS REGULATING W Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING., a_ U to 1 Incl. Up 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. JD SED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OP ORNIA OR 'THA'T 1 A H LEGAL OWNER OF THE ABOVE Over 10 to 10 Incl. RIBED RESIDENT P Over 60 t01U01nCl. MITE E Over 100 ATURE. A— Services RICT NO. �] PROCESSED BY 0-200 Amp. Under 600 V - f. D 201 -1000 Amp. Under 600 V APPROVALS DATE INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE .POWER POLE Temp. Power Pole&Appurtenances E'RSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits GH CONDUIT (Other) NGURES R AUTHORIZED PERMIT FEE (Sub-Total) O UTI LITY CO.NOTI F I ED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE r 0 TOTAL FEE NOTES PLAN CHECK VALIDATION CIC. M:O. CASH PERMIT VALIDATION L^K. M.O. CASH I 4 4 7 r13CT 12 2 © 15.0 0 A9