HomeMy Public PortalAbout5611 A & B SULTANA AVE_Electrical__ 7eAeesac eoe Nr ene `APPLICATION R ELECT_ AL PERMIT _ -
COUNTY OF LOS ANGELES OpBg BUILDING AND SAFETY
FOR APPL-ICA TO FILL IN ADDRESS �/ �' h
New Residential Bldgs &P Is EACH NO FEE 67
1 &2 Family Sq Ft i9C� LOCALITY
Multi family Sq Ft — NEAREST -
Residential Swimming Pools
—*WR
FIRM NAME
Outlets Rec_Light_Sw _ MAIL
Fist 20 ADDRESS
Total No Additional CITY Tel No 7
PLANHECK
t APPLI NT
Lighting Fixtures First 20 ADDRESS
Total No Additional - -
CITY Tel No
Fixed Appliances Not Over 1 HP I o
Range_Heater_D W _ APPLICAN
Oven—Dryer_W M_ ADDREV d' y'
Top _FAU —WH — O,&
CITY s, Tel N
Hood_Fan _Other_ LIC NSE OR �T �f
Dnp —RoomAlrCorsd REG NUMBER % Gass Ga
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO
Sae&Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING ELECTRICAL WIRING
Up to I Incl REGULATING
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O
Over 1 to 10 Ind LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V
Over 10 to 50 Ind CALIFORNIA OR THAT AM THE L ER OF THE ABOVE
DESCRIBED RESIDEN PROPE
Over 50 to 100 Inc DERMITEE
SCRIBE
Over 100 SIGNATUR
Ser'vKes DISTRICT NO P ESSE BY
0 200 Amp Under 600 V
201 1000 Amp Under 600 V c D
Over 1000 Amp or Over 600 V
Temp Power Pole&Appurtenances /� T/07 ijZ/9f� F
D
Sign with One Branch Circuit -�
Additional Sign Bronch Circuits INSPECTION
Mec Conduits&ConductorsINFORMATION
Other(See Complete Fee Schedule)_ REVERSE
24 8 6 9 A —'
q . .'. 2
PERMIT FEE (Sub Total) = 2'- e 5 7 0 0
PLAN CHECKING FEE (One Fourth Permit Feel F 1-1 • 57.005
PERMIT ISSUING FEE d. ' 0 6 1 1 -79
TOTAL FEE t <>
INSPECTION FINALED
dote i7 6 _6n By / ®s