HomeMy Public PortalAbout5943 SULTANA AVE_Electrical__ 78A:89.G�'E808B 12/78 APPLICATION FOR ELECTRICAL PERMIT
BUILDINGD SAFETY`DIVISION
FOR APPLICANT TO FILL IN ,JOB
New Residential Bldgs.&Pools EACH NO. FEE ADDRESS- 3 0 U)..`F at,R1 .OU
1 &2 Finally Sq. Ft. $ — $ LOCALITY P A,� ! T
Multi-family Sq. Ft. — NEAREST
CROSS ST.
Residential Swimming Pools OWNER OR
FIRM NAME
Outlets: Light,Switch&Receptacle MAI L.
First 20 z
ADDRESS LZNL
Additional f CITY Tel. Nd..--
PLAN;CHECK
o..PLAN-CHECK
Lighting Fixtures APPLICANT
First 20 3 ADDRESS
Additional CITY Tel.No.
PERMIT .�
Fixed Appliances Not Over 1 HP APPLICANT SI., r
Range Heater D.W.
Oven Dryer _ W.M. ADDRESS. �, Ip A!
Top FAU _ W.H. _ CITY, Tel.No. �
Hood Fan LICENSE OR y
Disp. —J--. A.C. REG.NUMBER 3 Class. �`�� v
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE'ABOVE IS CORRECT AND AGREE TO COMPLY 0
Power Apparatus&Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
R
WIRING.
lJ.l
Size&Type HP,KW,KVA,,or KVAR ELECTRICAL �
Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR rA
.2C
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. •• DESCRIBED RESIDENTIAL PR ERTY.
Over 50 to 100.Incl. PERMITEE
Over 100 SIGNATURAVE
DISTRICT NO. OFRO SSED My
Services qq^ •
0-200 Amp. Under 600 V
201 -1000 Amp.Under 600 V APPROVALS DATE IN ECTOR'S
Over 1000 Amp.or Over 600 V GNATURE
TEMP..POWER POLE
Temp.Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT A
(Other) WIRING A
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub•Total) UTI LITY CO.NOTIFIED 412
PLAN CHECKING FEE (One:Fourth Permit Fee) FINAL 7-2�7-77
PERMIT ISSUING FEE
TOTAL FEE NOTES �S ivG C/9�✓GF N p4-i' IJ y
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH
8-.4.6 c APH 21 =:2 i ? 8.8 S Sia