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76A663CF-HOBt6/76} App��CATION FOR ELECTRtCAL PERMiT � �
COUNTY OF l05 ANGELES BUIL�ING AND SAFETY I
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FOR APPLICANT TO FILt IN )QB � ; '
New Residentioi Btdgs.&Pools
EACH NO. FEE ADDRES ` L • � � �;�'
1 8�2-Fomily.Sq.Ft. $ .025 — E LOCAtITY i -
Multi•family Sq.Ft, 02 CROSS 5T. l� � � `
Residential5wimming Pools 25.00 pyyNEROR 1
FIRM NAME P •
Outiets:Rec Light Sw. MAII
First 20 �5� ADDRES `• "
Total No. Additional �30 CITY � Tel.No ��f •
PLAN CHECK
APPLICANT
tighting Fixtures First 20 •50 ADDRESS
Add�tional 30
Total No. CtFY Te(.No.
F�xed Appliances Not Over 1 HP PERMIT _ .
APPLICANT � '' � , ' . %'�� �
Range—Heoter�D.W. ___,_ -
Oven,.._Dryer_W.M.— ADD �SS/ �•, � �T �fi.,}.;
Top �FAU �W.H. _ C( .r. `i " Tel.No. ; s
Hood_�Fan ,_,,,.Othe �� -` LIC NSE O � ' ' -" , � �
R �
_ Disp._Room Air Cond. �`�,�j? ' 2•50 ' r� REG.NUMBER � � ��f. Class. �
I HEREBY ACKNQWIEDCZ Ai I HAVE REAp TWIS APPLICA� �
Power Apparatus 8 Lorge Apptionces TION AND 5TATE THAT THE A80VE IS COkRECT AN6 AGREE TO
Size 8 T COMPLY WlTH AlL COUNTY OR�FNANCES AND STATE lAWS
ype HP,KW,KVA,or KVAR REGULATING ELEC7RICAL WIRING. �
Up to 1 incl. 2.50 O
1 HEREBY CERT4FY THAF{AM PROPERLV REGlSTERED AFVDlOR
Over 1 To 10 tntl. 5.00 tICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �
Qver 10 to 50�ncl. �2�50 CAIifORN1A OR THAF N WNER Of THE ABOVE
Over 50 tv 100 InC. 25.00 ' RESIQEN l PROPERTY, �
Over 100 40.00 RMITEE � �
StG 4
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Servites -- - - - -- _ - - DISTRIC7 N0. PROCE ED Y �
0-240 Amp.Under 600 V �2•5� i �
201-1000 Amp. Under 600 V 25.00 rj
Over 1000 Amp.or Over 600 V 50.00 � Z
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Temp. Power Pole&Appurtenonces 10.00 Q �
Siyn wdh One Branch Circu�t 10.00 O
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Additional Sign f3ronch Cucuits 2'00 INSPECTION >
�o.00 INFORMATION u
Misc.Conduirs 8 Conductors ON REVERSE _
Other i5ee Complete Fee Schedulei SIDE v
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: ... . . �093,.1 � --.. ..
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PERMIT FEE fSub-Totali
�� �1 • • • 9,5G
PLAN CHECKfNG FEE lOne-Fourth Permit Feei O
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PERMIT ISSUING FEE $7.00 � G • • �' • 9,.�7 D�
7 �
TOTAL FEE �(.) > O G� � G-FS O
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INSPECTION FINALED � � �
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