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Home My WebLink About0573A i� ' 3 ..._. _ , ., .. , ,.., ... .... , . ..., .. �� ... , . _ . 76AG�3 CE-806�It I/76) . .. : � APPLICATl��I �OR ELECTRICAL PERMIT � . ., . . .�. .. ........ _�.,. ? COUNTY OF LOS ANGELES BUILDING AND SAFETY � FOR APPLICANTTO FILL IN 106 'ry ' � New Resideniic�l BI<lgs.&I'ools EACti tvo FEF ADD,RCSS �4� �" �%'' JZ�f�iry r- �c � (r!{' '� 1&2 Family,Sq.Ft_ $ 025 --- $ LUCALITY �;��,,ti��y ' �p-�-�,ti` �' iJ�ultrfa�roilySq.Ft. �2 -- NEAR[ST t> �� CROSS ST 1"tC P� �� Residgntial Swimminy Pools 1`''��' OWNCR OR 1 �� " �'- FfRMNAME ��w��7./ �, �Lat.a„i'cg,� 'L') �L� d--= Ourlers:Rec�L�yht �w. f�J qppRFSS �' •) � �' S0 n� First?0 �` lotal.No. Add�tiono! '�� CITY Tcl.No, .., PLANCFIECK �� APf'LlCANI' . �'� L�ghhng fixtures First 20 �5U ADDRFSS ` �A� 7nta1 No. Addihonol ' 30 CITY TeI No ` k:: �i" ' ., Flxed Appliances Not Over 1 HP PFRMIT � � APPIICANT _ ; Range_Heater�D.W._..._ � ADDRLSS s: _, . . 'i: ' OvenyDryer_W M� � ' � Top �FAU �W.H._ CIIY .. Tel.No. „ „ Hood,Fari _Other_ LICtNSE OR Dis Rciom Air Cond. _ �'�'� REG.NJ1J�r3ER ��Ss P.— . �,, '^ I HERt6Y ACKNOWLECGC IHA?I HAVf_READ'H!)APPUCA� -, -� Power Appnr,atus&L�rge Appl�hnces TION AND STAfe iHAT TH� ABOVE fS CO�RECr AN� AGREC i0 'f .,�+v `OMI�IY WITH AtL' COUNIY 'ORDtNANCF.S AND SfATE L4WS :� ��'�.i Size Iype HP,KW,KVA,or KVA.R `� . � ? RtGUI.rlTltvG ELECTRtG1L VJiHWG � + �, Up ta 1 Incl..,, 2.50 ,.a:i �`C .,� " 1 HERFBY CERfIFY iHAI I AN1 PROF'tRLY REGISTEkED AND/OR " � _ Over 1 to 101nd. � 5�� LICFNSFD AS RCi�UIKEU BY LOS ANGElES COUNtY AND STATE'Of �g , � �' ;j 5U CAi1F0�NIA Ck TIIAT I AM THE iEGAL OWNL-K OF THF ABOVE ;("�5;, �' Over 10 to 50 Inc1. y- nES<.RIBED RfSIUENiIAL PROPcRTY. �• f�; � Dver 5.0 ro.100 lnc. � �5.00 ../, ^�� '� � „PFRMII t_ '�ie',• � . Over 100 4U.0(, ` :�''•%-.�'',�%��''•-�,�'..,. . .,�,�,., . ;�.>. � ., ., � , � �IGNA�URF; '�Ra�.! , ':�. „ � �;, Services � DISfKICT NO. PROCCSSLD,BY ` -�"•`";; � 0�200 Amp.Undei 6U0 V � �'L.�O � � y,.f`� ' :� � � � � 25.C)U �f �. . '�i';.�4{....r.tM',.•i.....e` ; �: 2U1�100(.Amp.;Under 600 V _.. .y � Uver;000Amp:orUver600V '�'�� Z '�' � � n�-� ��- �/Z.11�.:� � icrnp, Nower Pole&Appurtenonc.es lOAQ � � � k, 41 S�yn wirh One f�ranch Circuii �� 1U.00 A �� "��'"�°�� > Additlonul Sign Bronch Circuirs �'�U INSPECTION > �� °�"�"�� `Y tN��RMATION u �+,��"r f,�� `;; Misc Conduits&Conductors �� ON REVERSE "x � � Other i5ee Camplere Fee Schedulel SIDE u ` E 'Z �� °J i.: H ?; �t � `��+ � ��. m sc u s„o � " S � , ;',., PFRMIT FEE �Sub-foral� .,-�� 1 � a � f�� ? �z� ',i PLAN CHECKING FC[ �One�Fourth Permit Fee� O 'ro,u � '� � "'.=� , -F � t_..,E.c., � PERMIT ISSUING FEE $7.00 , �1�'�C � "� � �),�%��•�(,'. '', TOTAL`CE ',:� w�t°'Y> > �, � � INSPECTION FINALEU `.W ` _ a . dote: By ;�s � � � ' � � �� , � � � � � � � � � �. ' � � � � � � � � � , � � � � � j � 4 , � � �t `� � � � � �� `'� �� . , .�� - � ::� , �=� �, ; � � � � 1 1 �� .. �: � � � 3 � � � � � � � i � ar � � , , � . ; . , ; , � , j Y . � , �� t� � �s , ; � � � � ° � ' {St � �{ , •. ,4 } � � { � � � .� �. ` � R , � - � � �� ' � � �� t -� � � � ; , � , � � � �� .�� \ .. � �; � � +` � „j 4 � : � �; � '; .� � � � � � � � � �, � F�;�„�-=-� � � � � � ; � !� '� � � �1 1 1 i � �6 � � —� � , � � �� _ � ' � � � a ., „,, �,, � � �: � � ,� � =E� � � � � � :� � :s � � �� ;� � � � � �� , , � � � � � � `� \ � ` �� —� � � �; � �_ � � � ��, � � � ' � � � � � �, �� iq � � � � � � � � � � � � � � � �c F � -� , 4 ! ` i �,�; �� 1� � �� ` � _� � ' �, �}� � ��; � �� ' .�`�t: �� 0 ; . � � i � , \ � � � �� . �.. � � � ��_ � . �� , � � �� i a�' �� 1 ��E°� � 4 � � ' ' � g� � � � � -� ,� � � ; . a��4� �A �� Q'�� '� �� . �: ��' � ` 5 ; � � �{ "� � c dk� `� � � �c� ,� , ��, 5 � i��w�c.�0.� ��.o,��i-t..>'} � i -`� ,1 .�� .'� � �t ,`� 4� � ��. 4 .�._,� .:.'t aA •�t� 4.�v yh�d.�w�y14`{r� � , ` � Ah �6i'.'3�:X� 2f'L� �i�^` jZ _ �l i �- �t -'� !_ � � 1 ' � i � �� .j: ..` . .,=�� 1 �� ,�°-��` �" _�"- � � � ��; � � �� .� � � � ' �� '�� --�� . ; _ � :!_ ` � '.� ;� � ! E. � � � `� � � � ! , � , � a. � :,--,'. � �� — � �. . . � '.� �, �� 3 �� .:��;.�;� ' � .. � - . .',� � i -r-`s'''`