HomeMy Public PortalAbout5725 OAK AVE_Electrical_10/16/1975_c Izc /e (ti7/— {�
]6A66J'LGBO6 I./7AAPPLICATION FOR ELECT ICA PERT _.
COUNTY OF LOS ANGELES 77 R�C11 1
DEPARTMENT OF COUNTY ENGINEER gooREss .)7 F rV
BUILDING AND SAFETY DIVISION_
LOCALITY' r6,,t %I e �c5 / �y� /
'NEAREST Ye. -,,FOR APPLICANT TO FILL IN CROUTLETS xo. •EAcn F,E OWNER OR
i FIRM NAME
$ S (
RECEPT._ - I ADDRESS i5AIL 1q U/ .4 6 dj t _
LIGHT_ TOTAL FIRST 20 .25 p
CITY re,`A +'fAIP 61 1 ♦ TEL. NO.;L D�O
SWITCH__ OVER 20/10 I PLAN CHECK
FIRST 20 25 APPLICANT
LIGHTING TOTA'
OVER 20 0 ADDRESS
FIXTURES TEL. N0.
RESIDENTIAL APPLIANCES PERMIT
1 CITY
RANGE_ORYER _WTft. HTR._ APPLICANT
{ ( _
STA. COOK_OISP._F.A.U._ ADDRESS V �7� L' i M)'JV
SPACE HTR. AIR COND. CITY & JC $-V e AX TEL. NO. 2-
CLOTHES WASH._ OI SHWASH.__ REG NUMBER 2 2.% 9C(y CLASS. d -14DFAN _OTHER - 1.00 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 10 LICENSED AS REQUIRED BY LOSGELqEST AND STATE OF d
IALIFOR NIA OR THAI AM THE EGAOF THE BOVE �
1 - 1D , 3(� Q OESCRIP.ED REST NTIAL PROPS TY.PERMI10 - 50 5.0 SIGNATU50-100 100 DISTRII T N0. I (�BY d
100 - 500 15, z
SIGN, GAS (SIGN AND ONE CIRCUIT B. APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE IADDITIONAL CIRCUITS 1. TEMP. POWER POLE
SERVICENOT OVER 600 VOLTS OR 200 AMP 30'% jIO UNDERSLAB WORK
SERVICEOVER 600 VOLTSOR200AMP 1040 ROUGH CONDUIT
/ 1
TEMPSERVICE, POLE,&APPURTENANCES WIRING I
TEMP LIGHT OR RECEPT. SYSTEM 0 FIXTURES 1
POWER AUTHORIZED.. 1
- UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION OK M.D. CASH
1 8 0 P nr,T 16 2 U 12.5 0 ",'
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE