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HomeMy WebLinkAboutNo Permit Number (165)TR 33069 Lot 55 76A663CE_806(11 7B) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY I FOi%APPLICANT TO FILL IN JOB ADDRESSFamily,- LOCAL w LOCALITY ?a.€°43k2 . Diamond New ResidentialI Bldgk: & Poo. 1 & 2 Sq. fit. EACH NO. FEE 025 5 Multi-family Sq. Ft. , ng PoolsResidentialSwimming 02 NEAREST a. CROSS ST. ea on n OWNEROR-_. -_..__.... FIRM NAMELs+ i??5 25.00 MAIL er-Walnut ADDRESS Outlets: Rec Li5ht_ Firt 20 Total No: Additional 50 30 CITY, walnut Tel,N.598-182 ...- _, PLAN CHECK APPLICANT ..:_...:. .. ..... ... . .,,. _.. . ,.... ,_: _. Lighting Fixtures First 20 50 ADDRESS AdditionalTotalNo.- 30 CITY Tel. No Fixed Appliances Not Over.1 HIP Range—Heater—D.W. Ovn_Dryer W:M.— PERMITANT. Y ° Y 'P. Ct DC7 ® ADDRESS -. 3 D'r rfG sZCe a Top _FAU o V.H. CITY_ p3.Co R Vera. Tel. No699-41 Hood _ Fqn — Other_'". PDisp. _,. Room Air Cond. —. 2'50 LICENSE OR REG. NUMBER - _ Class HEREBY ACKNOWLEDGE THAT I HAVE 2EAD THIS APPUCA- Power Apparatus & Large Appliances Size & Type HP, KW,KVA, or KVAR Up to l Incl. Over 1 to 10 Incl. Over 1.0to50 Ird: Over 50 to 100 Inc. Over i - - 00 2-50 TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY-WITH-ALL-COUNTY ORDINANCES AND $TATE-LAWS REGULATING ELECTRICAL WIRING." HEREBY CERI=Y -THAT --AM- PROPERLY RfGISTERED`AND;ORi - LICENSED AS REQUIRED BY LCS ANGELES COUNTY AND STATE OF> CALIFORNIA OR THAT I AM THE LEGAL OWNER-OF THE A-BOVE n PERMRTBED RESIDENTIAL PROYJ SIGNATURE,e 5.00 12.50 40.00 Services 1000 DISTRICT-NO: PROCESSED B 0 - 200 Amp. Under 6C0 Vm UAmp. Under 600 V 12.50 25.00 50.00Over1000Amp. or Over 600 V Z' O Temp. Paver Pole & Appurtenances Sign with One Branch Circuit 10.00 010.00. 2.00AdditionalSignBranchCircuits INSPECTION 10.00Misc. Conduits &Conductors Other (See. Complete Fee Schedule) INFORMATION V ON REVERSE s SIDE U Z J S PERMIT FEE (Sub-Total: PLAN CHECKING FEE (One-Fourth Permit Feel _ Z' O PERMIT ISSUING FEE $7.00 j s F I TOTAL FEE i % a54,1135 wINSPECTIONFINALED dare: I/ By C' © s