HomeMy Public PortalAbout5301 ZADELL AVE_Electrical_1/7/1975_ 76A663-CE60610;72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS AvbT
LOCALITY �- L
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. lahe-b (,410 AV
OUTLETS NO. EACH FEE OWNER OR
FIRM NAME ff INF-6 ,may Ld.(J
RECEPT.,- $ $ ADAIL
DRESS t? A w
LIGHT TOTAL FIRST 20 , .25
CIT`( TEL. NO.
SWITCH OVER 20 f0 PLAN CHECK
LIGHTING TOTAL • FIRST 20 41 .25 .'[!f APPLICANT
OVER 20 ADDRESS
FIXTURES .10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS / r
SPACE HTR. AIR COND. CITY TEL. NO.
CLQTHES WASH. DISHWASH. REG LICENSE OR CLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE 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
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE }
1 - 10 3.00 DESCRIDED RESI PROPERTY.
O
10 - 50 5.00 PERM17.El C�
SIGNATURE
O
50 - 100 10.00 DISTRICT NO. i� PROCESSED BY W
100 - 500 15.00 N y
Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE y INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP.,POWER POLE
SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 15.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL r ��
PERMIT FEE (SUB TOTAL) NOTES;
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
3 4 2 r JAN 76.7 5 2 0 Ayd_
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE