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k ADDRES
FEE
New R;esi enti"aY BI' gsi 'Poblsl t" l EACH' INC $ LOCAl�TY' ;
1 & 2 ami�'' Ft ai
X25 ,+
+� Y, �q �u_s ; „ NEAREST li
Multi-
family Sq Pt ROSS ST i
Residential Sw mmin Poo s
25.010 OWNER OR
4rkai., it d 7 FIRM NAM
gl1.$
Outlets.Recy%P LI ht Sw. MAII :'I I
1 i :, i I it i dl i FirsT 20 I :. � 5C ADDR�SS � i i i
3(' CIT Tel No
Total No + , Ac�ditionol
' ai i pL° CHECK 11 i i
it- lil',R APPLICANT
Lightira Fixtures°I' Rirs`t 20 50
ADDRsS
III 1' I' 30 ;
Tota(No Additionol CITY;dI i �r. Tel N'0.�
Fixed Applionces of overy�
N I Si31 H; +R
PERMIT r I
� APPI ICANT �
Ran j6 Heaier VJ ADDRaIIEa
OveH I�'r�eY `L:.+ li ' uV M
s i - . Tel. No.'
Top FAVI Vv N _� ara.
CITY
Hodder _ Fpn 'btnedr°� LICENSE R y
a 3 ; 2.50 REG Nl BER C',
l CIas4
Dsp � i2oom it Con
`21 1 !ll I l I FERGl ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Appa acus LarOe Appliances TION A&D $TALE THAT THE ABOVE IS CORRECT AND AGREE TO
yp E LAWS �,
pNI� STAt
I'll
a9i l t I`� to t11' KVAR REGUL^AHFEf Y ERT,FYL`HAT �APJ PR
Size T H� KIto 1 Ind tlIr 5.00 E A R QUI B LOS ANGEL COUN �
COMPLY V H ALL COUNTY CRDINAN E
Wli
ver to Oln RLC REGIYTANE) STAT Ind �+7ATE OF
, 11 I cl. CENS $ AB
t yl 11 aver N to O Incl. 12.ab CALII OK Tf T I M HE `LEG OWNER OF THE l
DESCRiB')�D RES1�E TI POP dTY.
k , (yver0 to 100 Inc. 25 0� PERi 11 EE
E r ' 40.00 i
a a�a Over 100 a SIGNAT IRE
Services it �ylli iii.' DISTRICT NO - JPROCEWED,SY 6
12.50
0 200 Amp Unde I
6 0` V "
201 1000 Amp Under 60G 'J 25.00
b. d 50 00,
Over 16C Amp dr Over 600 U
Temp power sole &Appurtenances O.Op Q
41
0 00
Sign with ane Branch C'rcuit d
Adel )611 <,gn �Ili.ra tichii ircuits 2 0'� �N pitilI'AON ' >
?k q416IN v
Misc. Corduits & ohdoctors O.00 QN OE, V19SE X
Other ibee tompyete Fe"e, kheCule1`111l Sl CB
11. a� aCi'ii1 II '1: i a 1 'I �+
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a a I i{ I 4I III s 4 i.- I + I + t,i
PERMfY E I1 y, SvbTotoli s +" '
sl
PLAN C �'I�f��F��� as''V a l (One,Fourrh Per it � - A
it I ua d
I3
�q 4
PERMIT IS 5 IN�IFt ,I l S $7 00 1 u,J,
TOTAL FES sl}li i u
INS Veal
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