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Lighting Fixtures =irsr 20 50 ADDRESS Addirional 30 :,__ ......,. ......,, ...... _ ,...._ Total No. GTY Tel No Fixed Appl'.cnces Not Over 1 HP PERMIT. .-. - .;- ..�. _. Range r Hearer_D.W. _ a�P��cANr �'�'a�.k`s E1�ctri� C�. . Cven_...Dryer_Vd:ti1.� ADDRESS ,Lj.�i j� 1�1�'7'�� .VE3< "__ . : ,._. Top _FAU _ N/.H._ � CIiY ��1.C.`O �<3..V�r'u�-. , TeI.:No��-��.�� Hnod_Fan _Other� � LICFNSE CR Disp.,Room Air Conc. _ 2 50 REG.NUML'ER �Cy��(3 Clcss C-�.Q _ . . . _ ,.. I HERE6Y ACKNOIN'LEDGE THAT I HAVE READ THIS APPLICA- Power Apparat�s 8 Large Appliances TIpN AND STATE THAT THE ABO'J= IS CORRECT AND�AGREE TO 5ize&Type HP, KW. !CVA,or KVAR� � COMPLY VJI?H ALL COUNTY' OROINANCES AN��'�STATF� LAVVS � �^ - RE6ULATINGEL C?rc!CAL WIRING. � �* p 2.;0 _ U ro 1 Inc�.._ . .. . .5�O -�� I HERE3Y�FRTIFY-THAT I A�M PROPERLY REG�STERED ANU/OR -� Over 7 to 70 ind. UCENSCD AS RCC�I,R�D isY t05 APJGELES COUNiY'AND STATE CF � Over lOto 50'rd 2,�0 CALIFGRN�a C)R THAT;J ArV� THE LEGAI OVJNER OF THE ABOVE � Over 50 to 1 GO rc. 25.00 G[SCR P,=D RESIDEN7IAL PROPERTY�. ,�� , �� _. 40.00 - � e Over 100� ER;✓�Tt� s � e�� - SIGNAiJR.. 2 Services - � 0-2Q0 Amp.Uncer 600 V 1 2.50 DISTRIC7 NO " ` " PROCESSE6 6Y"" 201-1000 Amp. Under 600 V ?S.CC � �' Over 1000 Amp,or Over 600 V SG.CG � O Temp.Power Pole&Appurtenances i O.GG , .. ,. 'r� Sign with One Brcnch Circuit '�� Adcitional 5ign Branch Circu ts �'�� f��'E�TOQN � Misc.Cond�its&Conductors 10 00 ��ORMATION � Other 5ee Complete Fee Schedulei 06M REVERSE V ' ' � ! � (`. SIt3E a ;' x ,� :� � . ... __ a .. 0. :t ;, � !.; i+ r', PERMIT FEE 15u6-?orall - -- PLAN CHECKING FEE ;Gne-Fourth Pen7�t Feei p E 's` a ';�"' �, , PERMIT ISSUING FEE '$7 �� ¢{+i' a C TOTHL FEE ��•� y _. � , T fNSPECTIGN �NALED `� � � date, ��„' gy F w�' ' a i , ��`'"�� ,G,;��- `` � �5 y,.,_,,' c'�-b r' ''. 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