HomeMy WebLinkAboutNo Permit Number (160)Tel. No.
IT
CANT ftillyU,.
Oven__._Dryer W. M, ADDRESS
040 44111
76A663 CE 806 (11 /78) ., APPLICATION FrJR ELEC
COUNTY Or LOS ANdtW
2.50
FORAPPLICANTTO'PILLIN - ..JOB
New `Residential Bldgs. & Pools EACH NO. FEE ADC
0251 & 2 Family, Sq. Ft. 1 L0 C,
Multi -family Sq. Ft. C2
2 00
12.50
NEA
25.00
25.00
Residential Swimming Pools
C O
Owl
10.00 INFORMATION' "
F I VIV
Outlets: R e c L i g h T SW.
12.50
ON REVERSE a
MAIL
Y' First 20 50
25.00
ADD
3C
50.00
Total No. Additionol CITY
Over 1000 A O00 V
Q
PLAT
APPI
Lighting Fixtures First 20 50 ADC
30r;.
Total No. Additionol
CI1nV
Fixed Appliances Not Over 1 HIP PERP
Range— Heater— D. W. T APPI
Tel. No.
IT
CANT ftillyU,.
Oven__._Dryer W. M, ADDRESS
040 44111
Top _FAU , W.H.M4
Hood _ Fan —Other _'
Disp. _Room Air Canal. 2.50
O
e
l. :y , CITYY TeNo-
1.0.00
RLICEREG. NUMBER Class.
2.50
Sign wit-hbne Branch Circuit
Power Apparatus &Large Appliances
Size & Type HP, KW, KVA, or KVAR
Up to 1 Ird.
Over 1 to 10 Incl.
Over 10 to 50 Incl,
Over 50 to 100 Inc.
Over 100 -
HEREBY AC 0 GE THAT HAVE REAP THIS AP I A-,
TIQN AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
CO't f PLY WITH ALL COUNTY ORDINANCES AND STATE LAWS'
REGULATING ELECT AL WIRING.
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF:
CALIFORNIA OR THAT I AM THE LEGAL OWNER OP THE ABOVE.
DESCRIBED RESIDENTIAL PROPERTY "` s
PERMITEF
SIGNATURE
0
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E
0
5.00,
Additional Sign Branch Circuits 2 00
12.50
INSPECTION >
25.00
40.00
10.00 INFORMATION' "
Services ., ...
0 200 Amp. Under 600 V 12.50
ON REVERSE a
DISTRICT NO. DIS PROCESSED BY yj
201 - 1000 Amp. Under 600 V, 25.00
50.00Over1000AO00V
Q
mp. Or ver 6 Z
O
Ternp. Power Pole & Appurtenances 1.0.00
Sign wit-hbne Branch Circuit 0.00 D
Additional Sign Branch Circuits 2 00 INSPECTION >
10.00 INFORMATION' " Misc. Conduits & Conitluctors ON REVERSE aOther (See Complete Fee Schedule)L_ SIDE v
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