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HomeMy WebLinkAbout0939A . . , � � ; , : h : , ` . , ; �; ; � '6"683`E:B�`B"e,: APPLICATION FOR ELECTRICAL PERMIT. ` •� ,COUNTY'OF LOS ANGELES ` BUILD{NG AND SAFETY " � FOR APPLICANTTO FILL IN� �� � JOB I � f�� � � � AUDRESS,- (,�- f r :'+ , • y: New Resi den�i n l B i dys.&Poo ls FA�H NU. FEE - � I.00ALIT� y I� �- � a: 1 &2�Family,5q.Fr. $ A25 — $ , .�'� '� ( „ a A2 — NEARESi f.' � �i Multi-familySq.Ft. �j f ; Res�dential Swimming Pools 25.00 py�lNER OR ��� Y .� f C i � `� FIRM NAME � • � �•'`{ ° .'�1 �4 QuNels.Rec' Light Sw., lv1AIL � �. i� r' , `s'� firsr 20 50 ADDRFSS�,^.,.y,�'�h.a;_�r . �i.�; �' 30 CI1Y Tel.No.�C � ",� �' ��� Total No._ Addiiionoi �� PL.4N CHECK �-° Af�PLICANT ��+;: Lighfiny Fixtures First 2U � 50 ADDRE55 �' � ' .30 �' Total No. _ Additional � a ; { CITY Tel No � � .Fixed Applionces No;Over 1 HP � P[RMIT V—'1��� t' ' � ' .w= ¢ APPLICANT � �'> � ;., j; �::.�.7 ���,'1 >,, t+ax:. ' Ran,ye.�Heorr,r_U.VV.� ; {�' �, '�s. Oven�Dryer—W.M.— �' '� ADDh �S LCr � , i 4.( �;f; ,,��.. �: � Top ;�FAU ��V.H., � CITY '� �� � ,�4 .J Tcl.No. '� �� �,�� � � ' , i ,. : '��1 t,_:, ----���5 iHood_Fan _Other���.�;-' / � Dis Room AirCond. � � ?'S0 i t` R G �ll MI3ER ,-- � {��` �� Class. �.. P — ��-+�'L`f c1 /;, ti t �. ' � � � , I HERr.BY ACKNOWIEOC� THAf I HAVF READ�iH7S APPLICA �.�; Power Apparotus&Lorye Applipnces fION ANU STATF THAi THE ABOVE IS CORRECT AND AGR[[ TO 5ize&Typ=HP,KW,KVA;or KVAR COMPLY WliH ALL COUNTY ORUINA�VCES AND STATE LAW� ��� REGULATING ELeCTRICAI b'VIRING �, Up to 1 Ind. 2 s� n r. . , � I HERE6Y CERTIfY THAT i AM PROPERLY REGI�TERED AN�/Jk : ! Over'1 to 1 0 Ind.� �'�� .—. �LIGENSED AS htWUIR� �"- S COUNTY AND STA�E OF . � .. ____ Over.10 rq i0 Incl �2.50 _, CALIFORNIA OR t I AM THt �tGAL �VNER Of INE A80VE ?��� f)-' �IBFD RESi NTIAL PRO°fRTY. Ove:r 50 to l.(i0 Inc OveF1�G0 � � 4�.00 ?ERMIIEi — � �; � . — i . �R� � Services pISTkICT NO. PROCE�SED BY i� �`'� 0-200 Amp.Unoer 600:V �2.SG 201 i000 Arnp. Under 600 V 2��� � � t SU.00 � ` Over 1000 Amp.or Over 5UO V „ _ ;R p ;: �'. Temp.Power Pole&Appurtenances IQOG Q i'� ; Sign with One Brqnch Circ.uit ; 10.OG � �; i Y Addltienai Sign Branch Ciraits � 1�`� (NSPECTION > � ' INFORMATION "` `i Misc.Conduits&Conductors i< 1 U.00 ON REVERSE s =';}��•:: '•'^ : O'her iSee Complete Fee Schedulel �' v; � ,�, SlDE � � � � � , �- .. .� y d. , f, r . y r.:,t� � � PERMIT FEE (Sub�TotaU �% '�� �+ " l. .z �' PLAN CHECKING FEE ;One-Fourth Permit Fee `O � ^{ �z ;��;;/� J i: �` ) t., <. l, ��r � ; PERMII'ISSUING FEE 37.00 , .'�.'r 'G '. ,�: TOTAL FEE { ;�. ;..> } .: ;� , (NSPECTION FINALED �� W �' � d , �' date: By � � �. C�s / .�-�,.�.,,�,�„_�� � f • ��... � I `;,.e{ � ,,.�..; i � � ; ! � ( � ii _ _, ' l � � I � � . , ¢ I � I � � ! ; � I .. . � � � � . � ;� � � : � y -- ► , , � { � � : � � i I � ` � � � � � � , i , , I I _ � � . � _ _. � i � � ,�w ; - I { ; � � � �g ; � , f � ! � UC� I ��� � � i � � � 3 � � , I � , , I . � � � � II � � � ; , . i t , �o � i � � � ) ► � , � � � II Ir ! � � , � _ � ! ! � � � i .. - :n I�' �e� � � � � � � i ' � � � f � � O � �i I z i . a � ..� � � I � i . .I ...�� .� f mo � � I I M ► { p � , . ,a l�l� i � .� Q���� �., I � I I � � ; . .�-.:i � f .�, y ` � � i � � ( j f� z � a X���=_ z� J � � i i I 1 � ; 1 I � � � I ! I� 'I p 3 l�: a �.�Z - � � I I I 4 � ..I � � 11 � � t � I � � I � � I i � � � � , � � � � ; , : � � � I II � � � � � � � , � � � � : � , I � � � � I , t � � l � - - � , I � � ► ' I iI_ ` ; =� : , : , , � t , I I �,. � _, . I i l _ . .. ,.... �,.� ^ __._�-. _- _._._ u.� .. ;_._ ,�