HomeMy Public PortalAbout4835AGNES AVE_Electrical 76A663 CE-80616/781 APPLICATIO OR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN ADDRESS
Fedenidential Bldgs.&Pools EACH NO. FEE
-Family,Sq. Ft. $ .025 — $ LOCALITY
-family Sq. Ft.
.02 — NEAREST s C�
ential Swimming Pools 25.00 CROSS ST.
OWNER OR
ff�� FIRM NAME
Rec_ 1-ight�Sw. MAIL
First 20 .50 ADDRESS l
No. Additional .30 CITY Tel. No
PLAN CHECK
APPLICANT
Fixtures First 20 50 ADDRESS
Additional .30No. CITY Tel.No.
pliances Not Over 1 HP PERMITAPPLICANT_Heater_ D.W. _ ADDRESS
Oven—Dryer_W.M. �. ( ,
Top —FAU — W.H. CITY Tel. N273,
Hood_Fan —Other LICENSE OR
Disp.—Room Air Cond. 2.50 REG.NUMBER j rat Class.
1 HEREBY ACKNOWLEDGE THATf 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
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 U
Over 10 to 50 Incl. 1250 CALIFORNIA OR THAT I AM THE AL OWNER OF THE ABOVE
Over 50 to 100 Inc.
25.00 DESCRIBED RESIDENTIAL PROPERTY.
Over 100 40.00 PERMITEE
SIGNATURE
w
Services DISTRICT NO. PRO SS BY a
0-200 Amp. Under 600 V 12.50
201-1000 Amp. Under 600 V 25.00 t3
Over 1000 Amp.or Over 600 V 50.00 Z
' O
Temp. Power Pole&Appurtenances 10.00 AJ Q
Sign with One Branch Circuit 10.00 G SS
Additional Sign Branch Circuits 2.00 INSPECTION >
10.0o INFORMATION W
Misc.Conduits&Conductors ON REVERSE x
Other(See Complete Fee Schedule) SIDE u
2
Q
939R5A
0 0 0 0 0
PERMIT FEE (Sub-Totall 2
2
PLAN CHECKING FEE one-Fourth Permit Feel O o'o 1200
PERMIT ISSUING FEE $7.00 G °•° ° 12 C 0 e:
J
TOTAL FEE �� > 0125-79
r
INSPECTION FINA4ED :E
W
date: By CL es