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Home My WebLink About1651A (23) "`��E��M�"�,n°"��"'�" '6�63 '°'8+ pppLiGATfQN FOR ELECTR[CAL PERMlT ' f I�reby aHirm that I have a cer�cate of conserrt to sell insure. �-806G � or e certit�ate of wortcers'Compensatan kn�rance,tt a certitied COUNTY OF LOS ANGELES BU{LDlNG AND SAFETY coRy thered(�Sec.3800.Lat�:C.) ` . . /L� ;.e_. . i. -. �rio -/''•17,I�,y � � .`•� cat aaPucsrtr ro Flu w ,roe aoor�ss 1-:-.'! �,r-:_ :. r-t Cerhfred copy is hereby furnisFied Pkw Fiestlerrtial Bldgs.&Pods EACFF NO. FEE - � � Certified copy is tiled wiEh the cauMy �iltling nspectian 1&2-Fanwly.Sq.Ft $ . — $ ��Y - depa[tn�tt f . _ Mufti-farn�y 3Q-F4. — �gT � . - . " CR0.SS ST - � _�'�.'.-_. �C�t �'.- i .,"r,.z_- - F�sident�a{Swunming Poois ()NNER OR �� { �t 1.�# �t NAME r � � /( '£fF�TIFICAGQMPENSATION N3URANCE KERS' QA�ts f2e�'—`-Lght—Sw.— ' _ . - ' ` �- lE � - ! � `�i:., r' t F j aoaeEss - (Thfs secrinn neetl�t 4e completed'A tlie work invoNed by the Frst 20 : - . } � permit ia for ona hurMr��tWrs l$700)w less.� Tataf Fb. q�� - CITY-_i„� 7ei.Fb._`:�j_ ,� - f certify tF�af in the�rformanee�(he work for vfiich ths P�� . PWUCtEpc .` es�,1 shalF not emP�Y a`^!P�son in arry manrw�r so as to � ��aT _._. _ . .�- 6ecome subl�to the Workers'G�ation Laws. LiBhfirg Fuctwes Fvsi 20 qpp(�� - . - - TotatNa. ��. � Date P�licant � . CITY Tel.Pb. � � �NOTICE SO-APPLiGANL H. after malcn9 tlus Certificate d Fxed APWiartces NW Ch�r t HP �R- � � Exertq�tbn.Yw stwuid become su6iecY to ttie Wwkers Carpensation Range—Hesffir_O.W. _ APPIK'wr provisions of tk�Lebw Cade.You must forthwith comWY with such Ehren_DrYer_ W.M._ � A�DRESS ._ ...- � P�s or this P�miE sirali be deerned ravoked. - Top �FAU _ WH._ . .•�. �`; � J- � � - LIGENSED CANTRACTORS�ECEARATIUN GTV t ,. .. ^- FeE.No.'� e. .'�-� � . tbod_Fan _€Nt�r_ � 1 here6y affirm diat 4 am licervsetl urder provisioris oi ChaPter B .. ticEntSE�i . f _ � : . . �fi �% _ _-(ca�rg wdh SeCim 74I60)of Qevision 3�if�.Business� �' —Roan hir Cond-- — . 7�c_t�qRABER -- i ,,.� ; Professiors Code.ard my Iicense is irt tW iwce ard eifect - Power APParatus 8 Lar�APP�iar�ces. oiSitACi Mo. � RiOCESsm Ev. � � � - . - .- Sae.3 Type HP.KW,KYA,.c+r KVAR �� °��f`,--,`-' .--�L � � .. License Pkr�er .. .-_ .. Lic.Ckass -` � Up m t InG. FINAL � 6ATE Contracta J.:��- ,, --` - `��ate ..�� Qver 1 to 10 FnW. .. VALIDA7IUN - - �` $ Qver 10 M 50 Incl. �,'�L � -�. ❑� F am axe`npt uMer Sec._.• . � Uer 50 ta t�0 Mic. � d : B&P.C.for this reason .. . -. - _-_��.1�._.._. . � � SeEvices,Swbd..MCG&Parelboards . -� Date- O-204 Rrnp_Urder so0 V � - � + • s�at� 2ot-tooa n�,a-umer soo v F�., � a�i000 n�.or o,�r soo v � ❑ F�cemption for Reg Mait�t.E�ct . t t - SINGLE FAMIlY � . 7emp.Power Pole&Appurtenances � . HQME OWNER-BLNLDEft DECLARATEON Sign wilh Qie Branch Circuit - � I heretry atf"am that!am ezempt hom the Gontractors lic�law � � fw the follow�g reascui(Section 7031.5�&isiness and R'ofessrons Additioriaf Sign�anch Circuits - . . � CAdel: � � � Misc.Conduits&Conductors � _ i I.as omrr�r of tF�P�t��Y.wiH tlo the work arxi the structure Other lSee ComP�Fee Sct�dute � is not intended or of£ered fa sale(Section 7044.Business 1_ � � --- � � . and Professions Code1. � .. / . r.�� ►a.i.i: � _ CONSTRUCTION LEIJDMG AGENCY � - t_E�a a,� � � i hereby affirm that there is a cnnstruetan leridi�-agency tw ttre .._-.. � t .. � . Perfamence of the wwk tor which this�rmd is'ssued(Sec.3037, PERMIT FEE (SutrTotal) j.s,e e+d,J:.� � � Civ.GI. . .- .. x PLAN GHEGKING FEE s Y:a �t-. .-.�, j Lender's Nartie � - _ - . . . � n � . . � PERMIT ISSUING FEE ' � �;:� ?� � . Ler�ers Addr�ess ��. - . . � � I ca6fy tl�a[t tmve cead this aPW�at�n arxl sffi6a that She abwe TOTAL FEE , '�. � . intormation is correct.1�ree to compiy with all County wdinances . and$fate iaws re9ulaEing Electrical wirir�g. aM hereby aiJlmr¢e - - repre9entatives W tYu5,County b eMer upwi tha abave-mentioned � ploperty,-for mspectiot+W�Pose�� - � .f . - �` SEE REVEPSE FOR EXPLANATORY LANGUAGE r �"f: F"' . f�/ . 3 Signature Of Pemuttee - Date - - � � _ _ . . _ _ , . i: ' - 4 _ - - - . • . • . - _ . . . . � - - . � . - . . .� ._. - . � .. . -. ,.. - . i . � - . - . . . - . .. ' ' .. . - � i . ... . ', � . - . - .. ' I. - . � j . _ _ . . . . . _ . . i . �. . _ . — . . . _ . ' . . . � .! . . - , . . . . . . . i f i si�� . . . ... . _.-. . . . � .. .