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HomeMy Public PortalAbout4825 AGNES AVE_Electrical_6/18/1977_elect panel 76A663 CE 806R 9/76 APPLICATIO FOR EL CTRICAL PERMIT J� COUNTY OF,LOS ANGELES ) , DEPARTMENT OF COUNTY ENGINEER JOB QS 'f j�6��5 1)a- - BUILDING AND SAFETY DIVISION ADDRESS U ' 1 FOR APPLICANT TO FILL IN LOCALITY / Pj,{ e, �s Jew Residential Bldgs &Pools EACH NO FEE CROSS ST, l Q4.se2 1 &2 Family Sq Ft $ 025 — $ OWNER T >_ Multi family Sq Ft / 02 — FIRM NAME Residential Swimming Pools 2000 MAIL ADDRESS 5'2 lq'-6 Ao ICS )utlets Rec Light—Sw 40 CITY t-e_/rt/oLL elt4 Tel No First 20 3f3 PLAN CHECK Total No Additional APPLICANT ADDRESS 1 , .ighting,Fixtures First 20 50 CITY Tel No Total No Additional 30 APIT PLICANT t >� r , :ixed Appliances Not Over I HP ADDRESS Range_Heater_D W _ CITY 7r—al f/—,e e—.*17 Tel No Oven_Dryer_W M— LICENSE OR YY Top —FAU —W H — ` S REG NUMBt� Clas ,^ Hood—Fan _Other— 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp — Room Air Cond `� THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 'ower Apparatus&Large Appliances Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COU STATE OF CALIFORNIA OR THAT I AM Up t0 1 Ind 200 THE LEGAL OWNER OF THE ABO DESCRIB PROPERTY Over 1 to 10 Incl 5 00 , r 10 00 PERMITTEE 96 Over 10 to 50 Incl SIGNA7UR `"� Over 50 to 100 Inc 2000 , Over 100 3000 DISTRICT NO100 ES BY o iery ices c t 0 200 Amp Under 600 V f "fie' INSPECTOR S Z 2500 APPROVALS D SIGNATURE 201 1000 Amp Under 600 V J Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE UNDERSLAB WORK temp Power Pole,&Appurtenarces 1000 , iign with One Branch Circuit 1000 ROUGH CONDUIT 1, 4dditional Sign Branch Circuits 2 00 WIRING Wsc_Conduits&Conductors 1500 FIXTURES �. Jther(See Complete Fee Schedule) I / POWER AUTHORIZED UTILITY CO NOTIFIED i s FINAL 7 3 77 )ERMIT FEE + I (Sub Total) NOTES , )LAN CHECKING FEE (One Fourth Permit Feel 1 1 If )ERMIT ISSUING FEE 1 $600 y TOTAL FEE , t PLAN CHECK VALIDATION ` CK M O CASH PERMIT VALIDATION CK M O CASH 0 9 r t 10 2 JUN 18 2 ©" 9.0 0 AIL,o ; SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r ®s , r r