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HomeMy WebLinkAbout1193A (5) i I . ' . . _. , _ ..._.._..._... . _ _._ ._. .... , .._.. . _ .. _._.. ._._.._...._ _._ .___._.. . ....____...._.. 76A663�CE-806�(1 I%781 � - �� - - — APPLICATION �FOR�ELECTRICAL PERNIIT � � --.. _. __._ . . _.. _. -- - .. ---- ---. _ ___ . _. _ __ _ . _------..._........ --- .__-- COUNTY OF LOS ANGELES BUILDING AND SAFETY FOq APPLICANTTO FILL IN � JOB New'Res�dential Bldgs.&'PoQ�s�'��� '" EACH NO FEE ADDRESS 2 2 . �Z�. r'Lt �--_ -...^. 1&2•Family,Sq.Ft. ? /9�+ S .025 — $ . LOCALITY � ._.. - - . . 02 -- NeAREST ^� � Mulri.lomilySq.F�. CR SST. u5/ Y _ _Residentiol Swimming Pools _ 25.00 OWNER OR ..--.- � FIRM NAME � ,py�/P '-----_. _� Outlets:Rec Light Sw. . .-. -- -_ ._. MAIL _. . ._ ..__....._..__......._._._..._.V. _��.� _� Firsr 20 .50 ADDRESS ----. _.Totol No. - - Additional .30 CIiY.. _ .. _,. . _....__..___...._---Tel.No.--.---- — PLAN CHECK _ ..-- - - .. . _ - --- - - __. . _ ..- -.. APPLICANT . _...__ ._..------.• .._ Lighting Fixtures Pirst 20 •50 ADDRESS -- . Additional- .30 . . . ___._. Torol No. CITY Tel.No. FixedApplicncesNotOver l HP ...... . ._ NERti1�T - _ - �.•:�---- -- Range—Heater_D.W._ APPLICANT �' � ' Oven_Drye�_W.M. .—. _....._.._.... ADDRE55 . ... .._... . . ...... _ -------- -- DYP � C Top _FAU —w.H., CITY � �' ' ______, TeL No. f8_ ? .. ._.... _... _ . . ... . .._. .. . ._. � Nood�_Fon _Other_ LICENSE OR Dis Room Air Cond. , 2'S0 REG.NUMBER 0 Class. -./Q �_ ' P:--. _ I HEREBY ACKPJO`/VLEDGE THAT I HAVE READ TNIS AFPLICA� Power Apporafus&large Applionces iION AND STATE THAT THE ABOVE i5 CORRECi ANO AGREE TO __..... ., _ . . ----- _ . _ . .._ _... . . ...........-.-- •- COMPIY \YITH �ALL`COUNTY'OR�INANCES'AND"STATErtri1ti5. ."—y' Size 8 Type HP,KW,KVA,or KVAR 2 50 REGUTATING ELECTRICAL WIRING. O � . _Up to 1 Ind. -�I HEREBY CERTIfY THAT 1 AMfROPERLY�REGtSTERE07�ND,�C9R '—'V Over 1 to 10 Incl. 5.00 LICENSED AS REOUIRED BY l05 ANGELES COUNTY AND STATE OF p� Over.l0fo501nc1:-- - 12 5� CALIFORNIA OR THAI_ I AM THE LEGAL O�h'NER OF THE_ABOVE. __� ' 25.00 DESCRI6ED RESIDENTIALP�OPERTY. ►• — Over 50 ta 100 Inc. - -- Over 100 - 40.00 - PERM11ITEE_. _� _ . .._.........__ _. SIGNATURE y� Services. -_....._.... ...-. .-�-. .----.. _. ..... , -. DISTRICT NO... ... . PROCESSED '"`Z --- - -• 0-200 Amp.Under 600 V 1 2.50 '- 201�1000 Amp.Under 600 V .. _..... ,_25.00 .. . _._ .---... -• ---._._. ..._.....1�._. ......_.. ...._. _.Q.u:e'�J_ ..� � Over 1000 Amp.or Over 600 V 50.00 Z O Temp.Power Pole&Appurtenances �- -10.00 - -- - - . ..__....,.__...___..._...._..__` Slgn with One Branch Circuit ' . ' 10.00 � i Additionol Sign Bronch Cirtuits : 2•00 �NSPEtT��N�_.__ . � �o.00 �NFORMATION � M�sc.Condv�ts&Conductors ON RfVERSE " x Ofher ISee Complere Fee Schedulel � 5 u _ ; IDE.. ._. _.._ .Z � .. . .. . _ -� -- � -.. ... .. ._ ._._.� �,1 1 9.�F. 0 . ................: ....--; �:,. ., .�..:. � PERMIT FEE (Sub�To�al� �j 9D � . __ .. • • O PLAN CHECKING FEE IOne•Fourth Permir Feei O � � O • PERMIT ISSUING FEE •.--.57.00,_ .. . .�vO _.._. .. .._ . ..�.-.p �.• • %��r\T , // . TOTAL FEE - �G. D > ��r �� INSPECTIO FINALED � �� W . }� •, � date:. fi ���r'`�Y D�'/ / � d , i 1 .. `; . i ,; ` � :. . ��- �x � �, - �. �; . , .. . .�e .. ...'� ..� . ,. _ �., .. . .. . . ,� . t � . , .. ,. , ,.. .. `��. ,... .,...c .•i:".�� '�t .. .,. . .. 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