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HomeMy WebLinkAboutNo Permit Number (4) v:�c�tictr;5;u��nPENsnTioNOEc�nRarioN ,r,aass in�ai y��g AnRT1d°1w1 C/1� CI Cd'T�1/'`A1 DCQIIAIT �I ' Ci--d�:c� "'--' " v i iii'v�i� T i�i ii7ii : ' I herciiy�Cn^tnet I hava a cer4ficete of r.onsent to self insure, �"�� � v�v6-ii ivie i 6ii� �i..d' =7 j u� ,� :ar;t�cz:r�;; ';.,�=o s'G.,,,;;.:i,�aaor�n5urena;,ur a ccrtificd CpUNTY OF LUS ANGl�LES BUILDINt'a AND SAFETY Lj r,opY thcrooi(`5;�:.:23.^.!LL�ib.G.) � tii��,7 ^ '_�` "---"- f�IicY hi�).�.����` _Y:Uni4)at1Y'4•3�'4` 1 t�t�.� �� FUR APPLICAN i TO FILL IN ,03 - ,� CY ��` ` ❑ .— .."__"-- I�DDR�S'__ '. a _1C•d C•F � 4i . . � Cert � ,�Zidonliul Oldqs 8 Pools EACH �NO. FEE --- 1 -� � .ie;�afiedLl t rYI isheiledY�eithl t ed.county buildin9 ins ection Navh4ulti�-'ar�iyly GScFtFt•A���.�__i'.`�.'.G.�L-_i�'L.�L—i;<�M1r�C3Tv„� "^Cr;!.?i l:'..4�J� ��J��� yl�� ' �''I `.J C �—T i, Cf2i;5,i ST. � �1 1, r;!'7+�'.., t �:% 1 �_(�}� ,�,�."[� Husiduntial Seeunming Pools � � o�;ru�l¢or�' _ f:Y � Dflte�f1��_3.� A�:phccn� ..--- I i ai nI,+M � � � S,1 Yt�,.�� �. j :;F 7 a -Of-EXE'.rl`TI:N F Ob1+dOiiKERS Outlets:Rec—_Light—S�a. I I I ��, pp, g��! ��_ � 4• s ' �`�� �OM�FNiATiON WSUI7ANCE —� S � i `�1 �ti,.'_ T�Ert1. t --- ; (Yhis section izeed r.ot be completetl rt the work involved dy the First 20 ` ��--I(;�T,�`, ".�^ T:i.Na�;-�,--•. p permit is for onc hundred dolfars(5100)or I�ss.) rotal No. Anditional I I � l _,'+�� �"•�..t:,i3 ��-��-��- _ -•�is'f''�'/ f � r�,^,N cn�c� :^�;:tity IP�at n;;i�r:pr:ic!ma!;ce o':h�.vrork for v�mich this Permit ;;ppucnn:i { is issuad,!sha!I no'empay ar�y parsor in an�manncr so as tu --- - X hecome sub;=ct:o thu Work�rs Corrpensetlon La�n�s. Lighting Fixtures �Irst 20 I ADDRESS r Add�t I � _—.. __ � lntal No. �iunn ----i � CI I Y Tei.No OFte Hp{�Lcan — � �, . .. Fixe_t AppianccsNc�l Ovcr t i{P I I I .+1-HN,IT �' �� n l:-i._ y x '�JTICC .., ;�°f'_:,);d- .. a" i �.i:, i e!'"c,:4e of � � APPLICANT } `�, �rF�� �,.t\f'1 1�i.�-.. � �xernUtiu i puu �F�u tl� �t yunl�l W iY c,Work�r�C.ompnin.,tion Ra'u�a_ I{r,ati�i DlJ. .__ _ .—_ - � 3 �aovisnns� h� ' u�r uc.e yuu �u-r ror Is�nth comply vailh s�ch Uven _ Dry2Y W.IvI._ i I i ADURCSS �J y�. ��1f.y� ,��� .`� •�r•r�is ors �:,i '. �dr ed - c��c:;! 'oV — �AL VJ.H,— I I �CITY 't'� i `��_ �� '�:.l Tel No�;`�/^l:�f�:Y ; LC i. C-�CO.L:9C )nS pF..I.ARATION Hnntl _— F�:i� Ct.icr._._. : ; t .__ .. :,�: —-_ _ y I h�cic;�Y �i 17 I� i am u,�nsed u idPr pra�isinnc of ChaPter 9 Giap- - R<�nm A'�Co id. _ I I 1 � �R 'ul�ln,pa R � �� 0(7�� Ch.ss�-�U �. r.o�r�eu,m�.nth„ec c.i. �.li f Uimsioi 3 ot tha Business and I I � � J �,ess c��C�e;: .:�: . . . ,.c r ' ,��II t�rcu�i�+ ;(fer.t. Po��•der App2ratus&Lar{�e Aimnancos -� -���J. �r';;-;SEC¢'! , � � � r� � �;��. . ;� � ' �e�•;�r��rr�nE���L�<� l� ���.c;i�ss �`jC%_ ��_c a y�c F'P KVe K i a r Kvnr� — I riNai_ U "�, T o `- ,{�'I-�.T-? ; �.I� +:y'����rij -____._.._.Over 1 to 10 Inci. ' � _ DiQE �7 J- -. I 1/ALIDATION � � �� ,�� ; � � ,t I t'_._.! ��_2_,w._—.�'iAtP.�___ �.JV�:�I 1Ii 10��)II1CI. � � __-�'—`rli�,iL ,. —� ' — . ^ , Of , ` 5�n�+,:e�r�p;u�;:ar Sec__ Qve!50!0 100 Ina � _ i____�'---1— BY /° , .......�..e.., i �•S -... ...._ Sa,l �� �. ' i, a, _--_.---Over 1q0 �---''--'_�------....I� _, -� � r��sc_ro� m�sre�,o�,_ � � ��� '� i - J->UO Amu.JndFr 600 V � � � - ! _ _ _ - SPrvic:�5.Swbd.,N .,G rne o�:res _ _ _iJntr.- . ' � I , 3iuncuwc -___ . :;Jt-i0G0 Amp.L�r��e�6U0 V ;_ � � � . ` i : `,�j, ' Gvcr iGQi?Amp.or Over F3:J0 V ��� � � ❑ Exar�Ption'or F'e4.�1di!iL EIEcL , -� j�. c u c. c s , � SINGLE FdfvliLY iemp Power Pnl�3&Appurten�naes � I i _� . " � � t. I �. HO:�P OV�!Ni-it-B'JII'�JFf:�ECLARATION Siyn vaiih Onc Bianch Circuil � i � I , I heroby affinn thrt I t,m CaCmpf fr���%�tLc Contrctors!!aanse Law q����ilionai SiUn Hranch Circ,uits ���� � � � � �" ' `." , for t1e folio�dinu ie�sor,(:;;cticn 7031.5,Buainess:na i'roiessions -��-- �- ; Code). I � L'�.�i C:-- .,.., y � i."is.^,.Conduits&Conductors __ i I._�s r;wno�n!the f+�nnerty.cli�l dc the vrork and tho structuro is<,et i��,ienccd or nlicrad,`or sale(Section 704�.Business ��hor(�cr.Complr.fe Fee Schedulel_ _ jand^.�.�.,..i�ii,Codcj. _-_— - , i a,:.. — GOiJSTRUGTION:.CN[]ING AGENCY � I hereby affirm C�,�;tr,oro la u coir:ructiai Iandln��jency for th2 � j performene2 of thc�a�o�k tor Lvhioh this pormii is issued(Sec.3U87, PERA4IT FEE (Sub-Total) t(.7 �� � Civ,C L I � PIAN ChIECKING FFF , l_ende�'s Narrna. PfRY11T ISSUING FEE �(J �?C� Lc-ndcrs lAdtlms- ._.__ � � �erttiy - �-„� ,���aPPlca:ir,�� ahovc TOTAL FEE �;� ,� information�is�corec:clna.c,rec ic coaiply wdhUall1County orAinances � und St�te lav;=_ re{:ui�i�in�� !ir.clnc�il vuiring. end heraby authorize i represo�tativos of'his-Cuuniy lo r,nter upon the�ibove-montlnned � pr�±crly lor insnection ourpnse�s,J // / [� SEE REVERSE FOR EXPLANATORY LANGUAGE s �.l-�'�.�1.-ar.�✓��/(fXG.� *�1,.`-�-:�/ :�'1 i Si{inei�—` irc of P�rmitiue U te 1 , � . ' , 1 i , i , ' i i ; i ' ; i � , ; i � ! i ' � , � � � . i ' � � ' � 1 i ' . � t � i � , . ; i I; S � , � • � � i � � . . . � � � � i : I i ! i i � i I ` i S � , _ ' � " ._.._ i .. �. i j ' � � . , ' . � . ' � � ,� ' � i � � ' � , � 8 _.. ..... � k _ . - s j , , . , - • . ; i i ; : ' : ! ., j � � ; : . , " , � , , '_ _"' ' S-.,..._...' " _ '._.. : ,� , ; i , , . ; . t . . � . _ , � � , . 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