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�awacace-soaia/�e� QPP��CATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SA
• FOR APPLICANT TO FILL IN J B '
New Residentiol Bldgs.&Pools ��y � FEE A �RE
1 &2•Family,Sq.Ft. s .025 — E LOCALITY
M�Ih•family Sq.Ft. 02 — N ARE
25.00 RO55 5T.
Residemial5wimming Pools WN R t�� - �
FiRM NAM ��-
Outlets:Rec Lighr Sw. 50 ADDRESS
Firsr 20
iotol No. Add�tional .30 CITY, �Tel.No. _
PLAN CHECK
APPLICAtJT
Lighting Fixtures FirsT 20 •50 ADDRE55
Add�t�onal .30
Toral No. CITY Tel.No.
Fixed Applionces Not Over 1 HP PERMIT
APPUC .
Range,Hea�er_D.W.^ ADDRE55
Oven_Dryer_W.M._ ��
Top _FAU _W.H.�_ CITY yfr�� Tel.No.
Hood�Fan _Other� LI"ENSE OR
D�sp._RoomAirCond. _ 2�50 REG.NUMBfR Class.
I HEREBY ACKNOVlLEDGE THAT I HAVE READ 1H15 APPLICA�
Power Apparatus&large Appl�ances TION AND STATE THA1 THE ABOVE IS CO�RECT AND AGREE TO
Size 8 Type HP,KW.KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE lAY'S �
2.50 REGULATING ELECTRICAL V�'IRIN
Up to 1 InCI. I HE2fBY CERT AT AM PfRLV REGISTEREO AND/OR �
Over 1 to 101nc1. 5.00 LICENSED AS RE E Y L ELES COUNTY AND STAiE OF �
Over 10 fo 50 Incl. �2�5� CAIIFORNIA i I AM f GA�OWNER OF THE ABOVE
25.00 DESCRI6ED IAL FRO Y 0
Over 50�o l OD Inc. rj
Over 100 10.00 PER111TE: . y�
SiGNAT 6
Services DISTR tT NO. • PBQCE55 i
0-200 Amp.Under 600 V 12•50 /� ` ����r
201•1000 Amp. Under 600 V 25.00 � Y
Over 1000 Amp.or Over 600 V 50.00 =
O
Temp.Power Pale&Appurrenances 10.00 t �
Sign with One Bronch Circuit 10.00 �
Add�tionol Sign Branch Circuirs 2'00 INSPECTION �
INFORMATION "
M�sc.Conduirs 8 Conducrors 10.00 ON REVERSE � = � C- G��1�,
Orher iSee Complere fee Schedulel �i
SIDE � �: � e e � . c
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PER111i FEE ISub Tatoli � �' • �: �:.(j(;,�
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PLAN CHECKING fEE 10ne-Fourth Perm�i Fee� O (I< � �,—j U
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PERMIT ISSUING FEE 87.00 �
TOTAL FEE �Gl�� y '
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INSPECTION FINALED �
� date: /C��5��li By � l.( �s
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