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HomeMy WebLinkAbout1618A (9) .� .; _ .. : _ . .:.._. .. _ _. .. - . -: . � . '°"°°'"�°'""'�' APPLICATION FOR ELECTRICAL PERMIT � `� ' � COUNTY OF LOS ANGELES � � � UILDI G AND SAFETY. '� . � FOR APPLICANTTO FILL IN . ADDRESS �'�� �� � New Residential 81dgi.8 Pools� . EaCH NO. . � FEE ' 1&2�Fomily.5q.Ft. S .025 — S LOCALITY �- � .. � � 'Multi�farciilySq."fl. � " " � ��z — � "� NEAREST. � � Resideni ol Swimming Paols � 25.00 OWNER OR ' �y . .. .. FIRMNAME U Outlets:Rec�Light ^_...__�� Sw.,�. � MAIL . .. . First 20 ��.50 � � � ADDRE55� .-,:�I I � �ct✓ �, ;^�' �f 7'I"'� " " �" .30 CITY ";^',V � .; Tel.No. �. Total No.�. ,.Addltional . . . .. _ ... ... .. . . . � � - PLAN CHECK "�' .. � . � ` r APPLICANT �` .. Lighting Fixlured First 20 .50 !� AODRES$ - � � � � Addi�ional .30 _ . . . . . _. To�ol No.�� �CIiY � � - "` � Tel.No. Fixed Applionces Not Over 1 HP.. � - PERM❑ . - � APPLICANT�1i.a/ :. ..� '� F �J l,. . Range�Heorer_O.W._ ' �- �.Oven_Dryer �_W.M._ . ADDRESS .�.� .-.. ��1`t �i- . . �Top._FAU �W.H,�. CITY.1 "� � �: TeI.No.:/f��, �' '.Fbod_Fan. ^Other_ . . .�` . .. �^ �% LICENSEO � - ... - �Disp._Room Air Cond. _ 2�5� REG.NUMBER �°W�/� Class. - Q: ��� I HEREBY ACKNOWLEDGE THAT 1 HAVE REA�THIS APPLICA� , � � PowerApporc�osBLargeAppliances � TION AND STATE THA7 THE ABOVE IS CORRECT AND AGREE TO d '��Si:e$T ¢HP,KW,KVA,oi�KVAR � � ' ' " �' �• COMPIY�WIiH ALL'COUNTY pRDINANCES�P.ND�STATE tAWS 0 YP � REGULATING ELECTRICAL WIRING. . ' y � Upto 1 Ind.. 2•$� � � W I HEREBY CERTIFV THAT I AM PROGERLY REGISiERED AND/OR _�_ Over 1 fo 101nt1. 5'00 � � LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND$iATE OF ..-� - Ovef 1010 50 Ind. . �2�50 CALIFORNIA OR THAi I AM THE IEGAI OR'NER OF THE ABOVE Y 25.00 �E$CRIBEDRESIDENTIALPROGERTV.- -_ � . � �Over$0 to 100In[. pERMITEE '.� 40.00 - - Over 100 � � . � $IGNATURE • � 6 Services � 1 D6iRICiNO:� � � - PROCESSEDBY 0�200Amp.Under600V 12�50 f � ! � � ��u�i -,201�,IODOAmp.Under 600 V �. . 25.00 t1 `1'\�-�� � - - �' Over 1000 Amp.or Over 600 V 50.00 , � � Z .. -- O Temp.Power Pole 8 Appurrenonces 1 D.00 . � . '..,.,. .. . a . ._. . . Sign with One Branch Circuit . 10.00 - � ' Additional Sign Bronch Circuirs 2'00 . �N$PECT��N > � . . — INFORMATION � '. Mac Condui�s&Conductors � � 10.00 ON REVfRSE� i � � ' Other lSee Complete Fee Schedulei_ SIDE v �� � � . . ,. . . ... _ ..... Z . :. - . . . . . � ... . . . �� � . . i:�.�l!�.Ii�?;� PERMIT FEE � � �Sub-Totol� � j?��,�;�5;��; . ��.�.,.�..�., `i PLAN CHECKING fEE IOne�Fourih Permii Feel . _ _, _ F ,��!,r4:�J�t�(� ,, - PERMIT ISSUING FEE - ,'.57.00 _ . � _ o �w,i i�%.(��j T .' TOTALFEE 'T' �i CC� . . - ' � > � �Q,/�J�it.�F;[a . . INSPECTION FINALED � � . � � � � '' � .� _ " W :.dare: . . � : gy � ' � . . . . � �_t �" � . I ; . i i � ,. " i '�' i' i ` i � : - � i � j. � � 1 i I � � I � . I .. ' �'� � � . ; � E � ' i �, � . I � ; � � � � ; � 1 � � I = I � I I � ' li I ' � I � S + ' I I: _ I I J f i . I: � �, ; ' ! ' � � � � ; ; ; --- � _ t i � � , .. ; . � :�,: �� r I ! I i ; i .._-- -,,;,-- - - ;_ ;:,-,.-�--��:. - -- , , � � ; ; ; : . - -- - i ; � � ; � j; i � � �� � , i i � ' - � � ' � � �"� � � � �Z , ;, {: ` _ � � � i. i z�-�, ' � � ,`.: ' � . '. i i I i � � ' � � � . . - ; ; i � �, ' - � ' � �. ; _ � I ; _ ' .. ,. _. ._ i � � - ��. - ' � , , , . . .. .. „ � - w - . . . �i ,- i.. - _ ._ 'i ..- -- �, -- 1 - � �- - � F ' I : i i I ' .'. i � Q � ' . � � � � - - --- - - - � -- - - � .. _ ._ . _ � . �i I , 1 j � i � I i , i I i � � i i i � � , I i I � I � c• � � , � ..- . - ..- _ .... - - -- -- - ; - - - . -- - - i - i ' �J �i i j i- � i . � . , ' e ' ; . � . . _ ' ; . � o o � � � , I j '. ' o i O O � , ' , � � .,. � W � Z � � Z I . , � ' . a � S IV � N C V . .. �� --- -I , I .. _ . -- -- -' --- I- -- I I� • • a = � W � _.L _ ,' a W C� Z � W � .J W � � , o ,� � � 3 � a �- ; W z p X p � z o , , ; ; - ,. � . � � � 3 LL a � � Z i � i _ � ; � , � , ; ; _ � j:' � ' ; _ : I ; i, - i i ' � ' � � �� �� • ._: � � ' " - : .. . j i � � � _ _ .� �, :: : ` `- � ` � . ': � � ` � , V � _ . ; f _ ;: ; ; , , ,, . , , � i : . . . .l , , ; � � I _ _ � I - . ! G � �, " ; � i ! ,, - . ,. ; i i • v , � � - i i � ; � � i ` '' _ i , ••r �, i � _ � - -. . - , _ i . • . - _ ! , ., -. '. r � ; - ... , . - � . .. '_. _.. ' . _ v_ ., ,. ..,... .... -. ::... . • .. . . . - , . . ,- , - . _ :