HomeMy Public PortalAbout4815 RYLAND AVE_Electrical__ jo
,6A6f3�E-606 NF 6/76 AP ATI' FOR EL I L PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB. ��Q
New Residential Bldgs.&Pools EACH NO. FEE ADDRESS4815 'N. RYLAND
1 &2-Family,Sq.Ft. $� — $ LOCALITYT, rrrTV
Multi-family Sq.Ft. — NEAREST
Residential Swimming Pools CROSS ,l-4
OWNER OR
FIRM NAME CIMLINCE,
Outlets:Rec Light Sw. - MAIL
First 20 ADDRESS SAM
Total No. Additional CITY TEMP - Cl-M Tel.N"6-0038
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 ADDRESS
Total No. Additional
CITY Tel.No.
Fixed Appliances Not Over 1 HP PERMIT
APPLICANT
Range_Heater_D.W._
Oven_Dryer_W.M. ADDRESS 2034 N. P K RD.
— "
Top _FAU X W.H.— CITY S Q, IM Tel.No579_7.982
Hood_Fan. —Other 2 50 LICENSE OR
Disp._Room Air Cond. REG.NUMBERClass.
OW
I.HEREBY ACKNLED E THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP,KW,KVA,or KVAR COMPLY
WITH
ELECTRICAL LINTYWIRI .RDINANCES AND STATE LAWS
Up to 1 Incl, 5 117 I HEREBY'CERTIFY THAT I AMP LY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS AN C UNITY AND STAT F
Over 10 to 50 Incl. CALIFORNIA OR THANA THE G NER OF THE VE
DESCRIBED RESIDE 0
Over 50 to 100 Inc. PERMITEE
Over 100 SIGNATURE
Services DISTRICT NO. P Y g
0-200 Amp.Under 600.V 12.5
201.1000 Amp.Under 600 V
Over 1000 Amp.or Over 600 V
Temp.Power Pole&Appurtenances ��
Sign with One Branch Circuit
Additional Sign Branch Circuits INSPECTION Y 0 5 3 1 A
INFORMATION
Misc.Conduits&Conductors ON REVERSE S # 00'- 2
Other(See Complete Fee Schedule) SIDE u
g ?_ 7. 00
116
0 0 0 n n
t : l i)
PERMIT FEE (Sub-Total) 20 0
PLAN CHECKING FEE (One-Fourth Permit Fee) O
PERMIT ISSUING FEE o
TOTAL FEE 27.0 >
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INSPECTION FI AILED
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