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Home My WebLink About1761A .,a.,... __._.._- ; <r � ��-: �'" r 76A663CE-806NF6/78 APPLICATION FOR ELECi'R�CAL PERMIT � � COUNTY OF LOS ANGELES �UILDING AND SAFETY , FOR APPL.ICANT TO FILL(IY DDRESS �(d � 6 New Residentia!Bldgs.&Pvols EACh �O FEE ` 1 &2-Family,Sq.Ft. � — $ LOCALi i Y F,n �/` �.l � Mul*i-famiiy Sq.Ft. — NEAREST CROSS Si. '^ � S Res�dential Swimming Pools 01NNER OR c FlRM NAME CGt �'Y`r I LE Outlets: Rec Light Sw. ADDRESS l��ip �Gl- ' ' f� "r�rs 20 Totol No. Addrt�oncl C1TY , �,- Te!. N ..,� ;� PLAN CricCK APPLIC.ANT Lign!ing Fixtures F;rst 2C ADDRESS - - . Toral No. Addit�onal ��T�� Tel.Nc. Fixed Appliances Not Over� HP ?ERNuT '- � / � APPLICA'�r aLC c .� 7' 2onge,Heater_O.W.� ADDRESS ��p� � 'L " Oven__Dryer_W.M.__ � .� Top _FAU — v'�'.H.�. CITY' • � Te�.Nc�� .-! �' Hcod_Fan `Other�,. LiCENSEOR D�sp._Room Air Cor.o. � REG.NUMBtR o'LS ��css�- "ea� I HEREBY ACKNOWLEDGE TNAT�HAVE READ TNIS APPuC:, Power Apporatus&Large Appl�ences T{ON AND STATE iHAT THE ABOVE !S CORkECT AND AGREE TO S�ze 8�T e HP,KW, KVA,cr KVAR CO�ti1P:Y' W;TH ALL COUNTY ORDINANCES AND STA?E LA\NS � YP REGULATING ELtCTRICAL W�RiNG. p, � �p tc 1 ind. � l HeREBY CERTIFY THAT I AM PRO�ERIY REGISTERED AND/OR Over 1 to 10 I�r�. L!CENSED AS REQUfRED BY LOS ANGE:cS COUNTY AI�D STATE O� Over 1 v re SG incl. CA�IFORNIA On ThAT I A:M ?HE LtGAL OINNER OF 7HE ABCVE � DESCRIBED RESI�ENTIAL PROPERiY � Over 50 tc �OG Inc. r PER�YII�E� Over i.,C SIGNHi;,RE � �+9 Serv�ces p15TRiCT fv0. PROCES D BY � 0•2CG Amp.Under 60^v V ,�7 ��,�..t,G�.` 2v^l�1000 Amp. Under GOQ V Over 1 v00 Amp.or Over 600 V Z �I, O remp. Power Pole&Appur'enances C/'�� , Slgn wu h One&anc h Circu,t � Addit�ona!Sign Bronch Circwts lNSPECTlON > IP�FORMATION v Misc.Cond�its&Conduc7or ON REVERSE Wx O�her�.See Compfete Fee Scheculei $�DE Z � � J 6, � A � � � o a:• o � � � � 1 2,l'�� PERMIT FEE �Sub�Total� Q PLAN CHECKWG�EE ��r.e-rour.h F'ermd Fee: p ~ � � � 2��v � a 0 i,G�-7�i PERMIT ISSUINv FEE � J TOTA�FEE � 6�+ �' � � f INSPECTION FItiALED � W date. By o �S � ""��;, `^�� 'a�uwd�� ,�.ow+ �;:m�S��:�in.�rwa,.-. „ , ..., ., .. rl '"r`i ";w.�'dTM�. , y=""-'�.^�.-'at.�... "N . . � ��,.. ,".�.n"'��, .:.:a,. ..M:.�..:'e.». . «..,�, ....M.. .. .. . ...... � . . . _ .- . n � . APPRdVALS ` DA7E INSPECTOR'S SIGNATURE , . ' TEMP.AOWER POLE , UNDERSLAB WdRK . ROUGH GONDUIT . WIRfNG � . flXTURES , POYti'ER AUTHORIZED t1T(LITY CO.NOTIFIED "rltiAL Gby�,yy tkdy G�jFCdyp,t NOTES '* . . , _ , .r . S ,� . . . . , .. .,yFy,""�.¢.��u' ..... 'b`" _. , ✓:M". ....-v;a. , r'S-�-� ,w,L_a . ::�..R ..e.