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HomeMy Public PortalAbout4327TEMPLE CITY BLVD_Electrical t r I ;. ••2ae ee•lenet r APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING D SAFETY FOR APPLICANT TO FILL IN _ (�DDRE55 3 7 New Residential Bldgs &Pools EACH NO FEE 1 &2 Family Sq Ft E 025 — S LOCALITY Multi family Sq Ft 02 — NEAREST - Residential Swimming Pools 75 00 T _ WN _ FI NAM Outlets Rec_Light_Sw _ MAIL First 20 50 ADDRESS — Total No Additional 30 CITY _ Tel No PLAN CHECK APPLICANT _ Lighting Futures First 20 50 1 ADDRESS Total No Additional 30 CITY Tel No Fixed Appliances Not Over I HP PERMIT Range_Hearer_D W APPLICANT Oven—Dryer—W M_ ADDRESSA 1 s Top —FAU —WH _ CITY t A _Tel_N_o Hood_Fan —Other— LICENSE OR Disp —Room Air Cond 250 REG NUMBER ' Class a-p HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO $rze&Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS 2 50 REGULATING ELECTRICAL WIRING Up to 1 Incl HEREBY CE AT I AM PROPERLY REGISTERED AND/OR O Over 1 to 10 Incl 5 00 LICENSED ASR IRED OS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl 1250 CALIFORNIA THAT T LEGAL OtyN THE ABOVE 0 25 00 DESCRIBED R 1 l P 7 ?O/ kyr/ Over 50 to 100 Inc PERMITEE _ Over 100 40 001 140 SIGNATURE 6 Services _ DISTRICT NO - P ED - - SGS 0 20O Amp Under 600 V 12 50 201 1000 Amp Under 600 V 2500 B _ Over 1000 Amp or Over 600 V 5000 n4 Temp Power Pole&Appurtenances 1000 Sign with One Branch Circuit 1000 3`4 iq u Additional Sgn Branch Circuits 200 INSPECTION ' Mnc Conduits&Conductors 10 00 INFORMATION r t x r Ocher(See Complete Fee Schedule)_ ON REVERSESIDE U 2 Q 0 A / e 0 r ' #x • 1'• • 2 PERMIT FEE [Sub Total) 2 • 1 8450- PLAN CHECKING FEE (One Fourth Permit Feel C • • 1 84.505 PERMIT ISSUING FEE $700 l 0O - 09. 1 2-78 TOTAL FEE r - - j INSPECTION FINALED date By r ms