HomeMy WebLinkAboutNo Permit Number (1255)76A663CE-806(1) 78 APPLICATION FOR ELECTRICAL PERMIT -
COUNTY OF LOS ANGELESLOtS :11112,, 13 lie
UILDING AND SAFETY
4
FOR APPLICANT TO FILL IN - BADDRESS.. TX -4 — :.........,
New Residential Bldgs. &
jl1 & 2 Sq. Ft. A
EACH -- Na -..__...._ FEE
025 — $ LOCALITY WalnutFamily,
Multi -family Sq. Ft. 02 = NEAREST
CROSS ST. i
Residential Swimming Pools 25.00 OWNER O GOFIRMNAMoleyConstruction
Outlets: Rec L ght Sw. MAIL
ADDRESS E
First 20 50
Ch Allc"i,.CA92706•..Nc}1--54'1TotalNo. -Additional 30 - ita
PLAN CHECK
APPLICANT ..--.._....._-...
Lighting Fixtures First 20 50 ADDRESS i
i<
30
Total No.—
Additional CITY Tei. No.
Fixed Appliances Not Ove; : HP PERMIT - UnitAPPLICANT ed' Electrical Ent.
Range—Heater— D.W. ADDRESS 032 Chester St-. f -
Oven— Dryer , W. M.
Top _FAU — W.H. _ CITY Stanton , -CAg-0680 No 828-62
Hood—Fan —Other—
2'50
LICENSE OR r 02035./2 TSS. C-1
Disp. --Room Air Cond. REG. NUMBER .
I HEREBY ACKNOWLEDGE THAT I HAVE READ IHIS A";PLICA.
Power Apparatus& Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALC COUNTY ORDINANCES AND STATE LAAS
Size &Type HP, KW, KVA, or KVAR REGULATING ELECTRICAL WIRING. O
Up to 1 incl. 2.50 t kEREBY CERTIFY THAT i AM PROPERLY REGISTERED A"aD;'OR UOver1to10Incl. S.OG LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
12.50 CALIFORNIA OR THAT I AM THE L.EGAL.O`h'NER OF THE ABQYf. O
Over 10 to 50 Incl. DESCRIBED RESIDE OPERTY.
Over 50 to 100 Inc. 25.00
40.00PER,'t;rEt- Over :00Siv;d RE
d
Services
a.
DISTRICT NO. - - - PR 5SBY
0 200 Amp. Under 600 V 12.50
awo
201 "r 000 Amp. Un der 600 V
25.00
Over i000 Amp. or Over 600 V 5U.U0 Z
O
j
Temp. Power Pole & Appurteroncez 10.00 C
Sign with One Branch Circuli 10.00
v
Additional Si n Branch CircuitsSign 2.co INSPECTION. >
INFORMATION u
Misc. Conduits & Conductors 10.00 ON REVERSE i
Other cSee Complete Fee Schedulei SIDE
PERMIT FEE Sub-Totoi; 205.7
Z
PLAN CHECKING FEE iOne-Fourth Permit Fee, C
PERMIT ISSUING FEE 7.00 74.0 D
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TOTAL FEE p2 ^+ r
INSPECT N FINALED
date: v By A PIS
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