HomeMy Public PortalAbout5724 OAK AVE_Electrical_10/31/1974_t
76A663—CE8Q610/72 APPLICATIOWFOR
E
TRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
ADDRESS 7,Z dl Y7
BUILDING AND SAFETY DIVISION
..S /qj�
LOCALITY �/� Ci l
' FOR APPLICANT TO FILL
IN
NEAREST
CROSS ST.
OUTLETS NO.
EACH FEE
OWNER OR
FIRM NAME �. %o/ r_.4.RECEPT.
$ $
FIRST 20
MAIL �+
ADDRESS
LIGHT TOTAL
.25
CITY fe�D�'� �+ f`�� TEL. N0.
SWITCH OVER 20
10
PLAN CHECK
LIGHTINGTOTAL FIRST 20
25
APPLICANT
FIXTURES OVER 20
.10
ADDRESS
RESIDENTIAL APPLIANCES
CITY TEL. NO.
RANGE DRYER WTR. HTR.
PERMIT
APPLICANT M,CA_o1,2,1,C 5.0A,-*,oV'r, T
STA. COOK DISP. F.A,U.
ADDRESS
SPACE HTR. AIR COND
CITY o TEL. NO. 7
E CLOTHES WASH. DISHWASH.
, �.^��Q
REG UMBER ��J Q CLASS.(` Q
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.
I
I
ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I
I AM PROPERLY ISANDESTATE/OR
O — 1 1 1
1.001 1
LICENSEDBASCERTIFY REQUIREDHAT
BY LOS ANGELES COUNTY OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE
1 — 10
1
3.001 1
DESCRICED RESIDENTIAL PROPERTY.
- 10 - 50
1
5.001
PERMITEE
S I GNATUR /'/►+� _ ..-.
50 - 100
j
I 1
10.001
DISTRICT N0. SED BY
100 — 500 I 1
15-001 i
CROCE
e
SIGN, GAS SIGN AND ONE CIRCUIT 1
5.001 I
APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1
1.001
TEMP. POWER POLE
SERVICE NOTOVER 600 VOLTS OR 200 AMP I ) 1
f
3.001 3 40
UNDERSLAB WORK
SERVI CE OVER 600 VOLTS OR 200 AMP 1
1
10.001 I
ROUGH CONDUIT
,TEMPSERVICE, POLE, &APPURTENANCES 1 1
5.001
1
WIRING
TEMP LIGHT OR RECEPT. SYSTEM I 1
3.001
I
FIXTURES ,
1 I
I
I
POWER AUTHORED
I1
I
1
UTILITY CO, hOTI FIED /2, -4 71-/
II
I I
FINAL
PERMIT FEE (SUB TOTAL)
NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION
3.001
4> Q
CK. M. 0. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
PERMIT VALIDATION cK. M.D. CASH
`2 610 0 8�