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HomeMy Public PortalAbout5810TEMPLE CITY BLVD_Electrical (2) PGA663 CE_60e 16/781 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools EACHNO. FEE' ADDRESS J110 rZ?W LC al/T el- - I &2^-Family,Sq.Ft. $ ..625 — $ LOCALITY �j[// 'g 63' . el T Multi-family Sq.Ff. .02 CROSS 5. 4" TJA llr:f Residential Swimming Pools 25.00 OWNER OR // FIRM NAME P/2• /P-0 5cT Z T 1C'0 Outlets:Rec Light Sw. 50 ADDRESS First 20 Total No. Additional .30 CITY Tel.No. PLAN CHECK Lighting Fixtures First 20 •50 ADDRESS Additional .30 Total No. CITY Tel.No. Fixed:Appliances Not Over HP PERMIT � / Range_Heater_D.W._ APPLICANT G(!D/� 7/I Oven—Dryer—W.M.— ADDRESS �,��Cr /2..s'o TjL•. Top _FAU —W.H._ CITY �, 00 Tel.No.7__3t/1-333 Hood_Fan _Other_ LICENSE OR Disp.—Room Air Cond. 2.50 REG.NUMBER /C»TZ. Class.A — I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA• Power Apparatus&Large Appliances TION AND STATE THAT'THE ABOVE IS CORRECT AND AGREE TO Size&Type HP,KW,KVA,or KVAR. COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS Yp REGULATING ELECTRICAL WIRING. Up to 1 Incl. 2.50 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1*to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE.OF Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE Over 50 to 100 Inc. 25.00 DESCRIBED RESIDENTIAL ROPERTY. Over 100 40.00 PERMITEE SIGNATURE Services F . ^ SZED BY 0-200..Amp.Under 6.00 V ® 12.503 o 201.1000 Amp. Under 60'0 V 25.00 z (� Over 1000 Amp.or Over 600 V 50.00 Temp.Power Pole&Appurtenanc s 10.00 Sign with One Branch Circuit f 10.00 AdditionalSign Branch Circuits 2'00TION > 10.00 ATION Ws301,0A Misc.Conduits&ConductorsERSEOther'(See Complete Fee Schedule) E' 2 0 0 0 0 02 g 20 ° 1700 PERMIT FEE (Sub-Total) o o o 1 7 0 0 x PLAN CHECKING FEE (One-Fourth Permit Fee) O a 0 1 -79 PERMIT ISSUING FEE $7.00 0 TOTAL FEE > INSPECTION FINALED • W date: By IL ®s