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HomeMy Public PortalAbout4835AGNES AVE_Electrical (7) 76A663 CE•806`(6/78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRESS - v� C'. New Residential Bldgs.&Pools EACH NO. FEE 1 &2.Family,Sq. Ft. $ .025 — $. LOCALITY Multi-family Sq. Ft. .02. — NEAREST CROSS ST. r 2, Residential Swimming Pools 25.00 OWNER OR FIRM NAMETr Outlets: Rec_��1—Light--t—Sw. 3 MAIL First 20 ' .50 91 5CADDRESS Total No. Additional .30 CITY Tel, No PLAN CHECK APPLICANT Lighting Fixtures First 20 S0 ADDRESS Additional .30 Total No. CITY T . No. Fixed Appliances Not Over 1 HP PERMIT APPLICANT CL Range_Heater D.W. _ ADDRESS Oven—Dryer J W.M. Top —FAU — W.H._ CITY Tel. No. v Hood_Fan —Other LICENSE OR Disp.—Room Air Cond. 2'50 REG.NUMBER Class. IHEREBY 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 REGULATING ELECTRICAL WIRING. Up to 1 Incl. 2.50 ® . 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 PROPERTY. Over 100 . 40.00 PERMITEE SIGNATOR Services DISTRICT NO. PROCESSED BY 0-200 Amp. Under 600 V 12.50 c 201-1000 Amp. Under 600 V 25.00 S O Over 1000 Amp.or Over 600 V 50.00 Z Temp. Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 C Additional Sign Branch Circuits 2.00 INSPECTION > Misc.Conduits&Conductors 10.00 INFORMATIONON REVERSE i Other(See Complete Fee Schedule) SIDE U "2 5 6 2'A Q d # aoao'o2 PERMIT FEE (Sub-Total) 20 . 16,00 PLAN CHECKING FEE (One-Fourth Permit Fee) 0 a o o 1 6,006 PERMIT ISSUING FEE $7.00 0 0 7, 13-79 TOTAL FEE > r INSPECTION FINALED ode W date: By IL ©s