HomeMy WebLinkAbout0 T6AE63.CE9051°"2 APPLICATION FOR ELECTRICAL. PERMIT
COUNTY OF LOSANGELES
DEPARTMENT OF COUNTY ENGINEER gooREss.
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CR0S5 5T.
OUTLETS M.. GH Fl OWNER OR .'
$ $ FIRM NAME °�..' -'
REC EP T.,_ MAIL
LIGWT TOTAi
FIRST 20 .25 AQDRESB
OVER 20 CITY TEL,NO.:
SWITCH_- 10 PLAN CHECK
LIGHTINGTOTkL FIRST 20 25 APPLICANT :
44
1[ OVER 20 ADDRESSy,,✓ty y'1 {.. IF✓�l✓f
FIXTURES J .10
RESIDENTIAL APPLIANCES CITYTEL.NO�"'"� r k`lW
RAN GE_DRYER_WTR.HTR._ APPIT
ICANT .f- FT's;f y tfCG'Jr(`
STA. COOK_DISP.-F.A,U._ ADDRESS
SPACE H7R, AIR CONIC. CITY TEL,NO,
CLOTHES WASH. DISHWASH._ LICENSE OR +�
REG.NUMBER '� CLAS
FAN-OTHER 1.00 I HEREBY ACK40OLCOGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS HATING WITH ALL COUNTY ORDINANCES AND STATE LAWS R£OULATING
IND.HEATERS.ETC. HP.KW.KVA. ELECTRICAL WIRING.
SIZE 6 TYPE OVER TO
HERE 01A CERTIFY THAT AM PROPERLY REGISTERED AND/OR
_ Q_1 f�QO LICENSiO Ai REQUIRED 0 BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGµ OW NEA OF THE ABOVE O
- _ V 1 -10 300 !!E Sf.FII'.EO -9I DE NT1Ai PRORRT Y:- ; yUU�
PERMITEE
10-50 moo SIGNATURE 1i
50- 100 1COO DISTRICT NO. PROCESSED BY
100 -SQO 15.00
SIGN,GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE WSPECTOR'S SIGNATURE W
TUBE,OR N
MARQUEE ADDITIONAL CIRCUITS I.00 TEMP.POWER POLE
SERVI CENOTOVER 600 VOLTS OR200 AMP 3.00 UNCERSLAB WORK
SER'VICEOVER 600 VOLTS OR20CAMP 10.°0IROUGHCONDUIT
TEMPSERVICE,POLE,B APPURTENANCES 5.00TEMP LIGHT OR RECEPT.SYSTEM 3.00ES
AUTHORIZED
Y CO.NOTIFIED
TERMIT FEE (SUB TOTAL I NOTES:
'LAN CHECK FEE
ERMIT ISSUING FEE 1 3.00
-OTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH
WS112ali — - -
#twin as
:E BACK OF APPLICATION FOR COMPLETE SCHEDULE
ELECTRICAL,. PERMIT FEE`.CHEOULK
11�r+�--� i _-__Jt•� _ "� - mai ear a*y r0�
it s i e -'�:.yE"• •—.
For-R np•arla Swr*ch, L qh!d:+g Outu t-- rsr20, Each 25
A Each .. -
w
For F-f o•. FEocl.
2c
10
[ For Mercury Vopor-Type Light ng Fixtures, Eo;h 513
t Fa' P01a-o'Plo -
�+ Tkw aa.I hypf L_igkl g F xfyue s, Facl_i - S0
Foal-;Ir�tcllot;on- DO -
For F' .d R <ide it al AFFi. s. p7o� E ccading 1 HP, Each 1 00
F d F-ere y Wirea N Reade 1 ApF,i.nc,s Not ExceE c;ng 1 lin,}(YV, KVA, Eoch, - - 1 00 -
For M to.s, Genera rocs, T:a•s fo rn,er s, Recti Fi ers', Ccnvurters, Ccpocltors, Ind-trlal Heanng,
Cook B" Ec„;p e t-end Cnl -r P;,—Apparatus. -
.,p To 1 f dlhg 7, El—k - - I rO
Ove•1 a�,3 t+or Owar 10, Eo.1, _ - - - 3 00 -
0 1-B and Net Cua. W. jt.. 'S 00
* @t etMet @ii* FMG,F-ft 10 00
.
0— 100—4 Nat CJ',.� �QJs R.,b, - ��— � - I S On -
Oyer 500, Ear` - __ 25:00
Noto 1 Fc* Eq,ip,--t or Acpl-- More than One M t-ter ur Neaten 'r,e 5 a of the
Combined Rctings May Bo Used. - - - -
- '- 2 Th.- Fee., Indludo..'All SwiicFias, Circuit Br—kers, Contac-ors. Relcys end Other
_ - -
p redly Rslaea C-1-1
k For T ! ey c+d F ig h-Type Busways Each 100 Feot cr Fra¢tion Thereof _ - - -2 UU
Noto; An Ar, ii,cnal Fee WWII Be Roc,,-rod for Lighting F-tures, Motors and Other.Appliances
-1r:-Typr,B—..y_, N3 Fe-;s Re.q filed for
- - -Far 0 Sy, - c One Br .,_h Cir-t,.Each
- Fo-A4 : >lunr}i C u'.-s Each - - -. 1:r01- -
or S atm ly stall- Fl-h—, " ;,or Oth,Tnt;a1 Ln-c-, Each
-o-S- res No ever E00 V nr 200 A,,ps., Eao'r -... - - 3.00 -
Fe-S,--; Ooer C.00 V ar 200 A�r•ip,, EUch
For 7-i--,ry Servlco, Po pcle, 6,8Appurt nco,c, Eoch
-ar., ceLu_ mus Condc.ts and Cond,icrors
Not Applif:obl,hha•e o F,,i, OtI'—, .c nea 'r:<l Hcro;ni s 100
Fc ,S,i
--.-4 .
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