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HomeMy WebLinkAbout0787A (4) \YCFKEF75'CO`•'^ENSATIO�JC[CLARATICN ���-�� ���8� qppLICATION FOR ELECTRICAL PERMIT {� I hpm�s/.'frm Ih�l I havr.�ccrti`�c;'r,of cansrnt to 59'f in5ure. C`-.`CrC or n;c.nic;tc;�e�o•kr.is'Ce�,�!c�ea!�on In=.u.r.rv^,cr a cril:licd COUNTY OF LOS ANGELES BUILDING AND SAFETY �� ceCy�rerr.a!(Src.3�OO.L:h.C.) F'pli�y 1.�. Cem;any FOR FPVLICA4T TO FILL W �^� �� �T� v` � C^rli�ed cep [l.C�i �:D. FEE F"��`�5 � y is Mreby lumishcd. New Res�dantial(i'Cns.R f'oa's � 1 8 2-FaT:ly.Sq.Ft. 5 = 5 LOGr-.LiT �y�� Certi`i,+� coryy is!/ed xslh th;+, county 6ui"!rq in,p^[lioq r.+Jc�-hT�i rc �.�:,r,�sr c�ep'rM�Cr.!. Y'�7. G?C55�7. .�a � f7n�iC=r!i;:l Swi�rmi��Poo!s crr.:[n e� /1 �J D:t.^. A�;'ic:�t �p � �,�C /V�17 ���._ F:F`A�:�•.'c CERTIFICAT[Cf EXE�".PTIOY FRO'.11YC�K[RS' "+•'� CC.'PEHSATIOtJ I�:SURR!!CG 0.�:!c!s:R=c—Li;ht_Sw.— E�^r.e.<,5 (Thls settion need not 6e tompleted i}Ihe work Involved by thc Fi�sl 20 permit is lor one hundred dallars(5100)or less.) Tc!::I�lo. !u!.".;�nn;!I ��TY T^I.�7�. �� !'�F'�LI��'CK I ccr:dy Ihs:!io lhn�if[+.rriAn^e of�hn v.nrk for���h�Ch th�s pMm�l pprn�p•n is issuc7.I sh=!I nol empby r.m nr�sc��n a�y m�nner s.n as!o beto^w::,�:L•;^ct�o tFe P:cr4ers'Cor.^..^.ens:dion La.vs. Li�hh�r7 Fixtu�r5 Firsl 20 hGCficSS � A;:d;io•t:�l / j �� 7ot:!I Na. CITY Tzi.PJo. Xq,�„�y7������//I / A:.^•'�c�n. -�, � � - — — Fixrd�F,^.!�a�xs�1H Otrr 1 fiP pr���.� NOTI I TO n�LI�ANT: If, aftcr rn::inp Ihis Ger ,:._ C� �f{Iw 1��� [xcm[��i��n.Yc�5ha.'�h�CCr-g Sl:bi^^•l 10;.':n l'krker5'Go:^.^c^.s:�•i�•i f7r.�np_ I ln,�..l_ D\'J. _ h^I'LICP!!T _�� pr���is�ms c!lhe L^.hcr CeC^,1rov n:ut!ortN:;�:h ccr.ply v:"lh so:h Ovrn_ Dryr�r_ l'!!d._ ACDf?_SS p�ov�sic�s cr ihis p^rr�it 5h,-:I he d^c�rA rev:ked. T�p _ fAU _ l'!H _ UCEHGEO CG4TRAGTCRS DECL%•�:�71•�N IIoeA_ Fan _ 0:"cr_ CITY 'el.P:�. I h rc6y al'i•!�t!rt 1 cm;:cc^srd ca'.�r�'^'isio�,cf Ch�^•rr 0 D'sp. _fioo^�Air CCn�. _ u�C:':;C O�i (ce^�m^n��ng with F.rc!io�i 7000)af D�vi�io�3�c!Ih^B.is��r55 nn.1 PEG�:1!VCrR C;�ss PrCrCss�on,Cc?^,a�d r�y Pcrnsa is i�!u'I k•[n a�A M!^ct. pr,v.�r.^p=ra'us R L�rm A^p'i-!nces D•�i!��CT u0 )` PROCSS[D DY � S�vc R Typc Hp.KI'l.�KVA.cr Kl'4R /U p Licon<_^�;..,-�c• Lic.CS,<g Uo b 1 I^cl. FItJ?L � '�J V �Ovcr 1 to 101sc1. GATE � �� �y� VALIDATION 0 Cc,,,.,���. p-!� �'' ❑ Ove!10 l0 50 Incl. I U f:."J:L I a:�exnT;t c^d.^r crc. O•mr 50!0 1G0 I�. ny •• W Over 100 � n-' QSI'.C.f��:h!s rc±scn ✓ [n �rv2es.S�:n,tl.."."CC 8 P,r,••�y^,•CS , �� Z �'''� 0-2C0 Ar�p.UnCcr fii 0 V r` $�qnc!urc , 207-1000 Amp.U�d^r fi00 V � 1 ❑ Over 1000 Am�.cr Ovcr f.,00 V Exrr^,^.!an Icr Rr;.h";:in!.[Icc:. �7�71� I 5f!JGLf:F;,"LY Trr^�.F'e•:.rr Pc'c 8 l.�pur'=^...^s i HC =_G'!� -uU'LCc:CCCLA S�c�r:r,ti O^^E?•s�ch Ci•c:nt, Ii• • � • a� I hprchy,^.f°•n IFzt I z�n errm^t fro^�•^�Ccr mc�:s Licc�gn�,:v . fsr Ihc�"rr.i��reason(S^c':cn 7091.5,E�<iwss::nd Prc'.�s�o�s H��''�'�nnl Si;�E3re�h Cim:i!s I • •,�5 O ccr�� ,. � I,as evm^r ef P+e F'^F^rty,wi'I Co the v;crk.�d thn stnKtum `��ConCu�'s R CcnC•.ic!a•s • + o J l�J�V �' I.,c^n C'.her(Se^Ccr,^.'etr.Fert Sc.^.eCc'e)— ' is nc,ir.M�r.!r.d cr c"-mA I.r e�ln c„��� 7044,Cusiness ► �A � 7—�7 . and Pr;Inqs;on5 CCn^�. GC"JSTRUCTIO�J LEND'.'J3 AGE�iCY I hr,reby nl'irn!hat there is a een,7ruc!ien lo�::i�q cr=ncy�_r iho , perfo�mance cf ih�v:ork 1cr rrF�Ch Ih's perm�;is issu?d(Sea 3037, FERNIT FEE (Su5-TOC�q ,�� Civ.C.1. PLAN CHcCKIP:G F[E Lena^r'S�J�rc / I'EI:!•IT ISSU".G FEE !V LenCer's F.dd�ess I c^rtily Ihat I hzve renA th�g a^^'�co'�on.nd stalr,thr.l IM r.6ove TOTAL FE[ 30.5"� iNcrr�ati:n is eorrcct.I n,ee to ccnply wi!h.'I Cous'y c•dinances � [^d Sto!e I:wS rC.^-�.d.-liqg Ele[!ric�l w��iny,nd Frmhy ,u'herize reprRsenl�liv?5 of ihis Counly to rn'cr upon thc.^.hc+c-mcr.�qn^d Crc,^.crty far ir.sFec!i;�purCoses. SEE REVERSE FOR EXPLANATORV LANGUAGE .�� ��--�-�,� �` ���'� Ii��,!urc ef F7rm•tl?r. U�M . i, . , � � � . � ` J ' C �� � � �. O n '' � ^• G �.�� �t: T..'. �c �: '� Ot, �`r •L� C� �! U� �Ci. ' V � L O � 'u :. �' V C> 'j� t� "� N. iQ G i ".i� t� f� , t:., ! Y C:' r��: �fn� ��\ ��•�;. G � �C f �� •. V.C `, 4} j �:,,•`C� �, ci i- `•c`,� �: 'e -. L'.. �'. 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