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Home My Public Portal About5006AGNES AVE_Electrical (3) APPLE A10 + F'O�It ELEG�TR1 I AL PERMIT CITY L1 76A663 CEB06 11 71 #12639 r L COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER B UILDING 5006 Agnes Ave BUILDING AND SAFETY DIVISION Y Temple City FOR APPLICANT TO FILL IN ST OUTLETS NO EACH FEE OWNER Nick Pili ovich RECEPT_ $ $ MAIL s Ave FIRST 20 25 ADDRESS5 006 Agnes LIGHT TOTAL SWITCH OVER 20 CITY Temple City TEL NO �— 10 PLAN CHECK LIGHTINGTOTAL 1 10 FIRST 20 25 APPLICANT FIXTURES Jy OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO RANGE DRYER_WTR HTR_ PERMIT Environmental Systems —APPLICSTA COOK DISP F A U ADDRESS 20938 Currier Rd SPACE HTR —AIR COND CITY walnut TEL NO 96V 57 93 CLOTHES WASH DISHWASH LICENSE NO 265736 CLASS C-10 FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS TRANSFORMERS RATING W ITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS ETC HP KW KVA ELECTRICAL WIRING SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 HP 0 - 1 1 100 LICENSED AS REQUIRED BY LOS ANGELS COUNTY AND STATE OF d CALIFORNIA OR THAT THE LEGAL OWNS O AND INTEND TO O I - 10 300 RESIDE IN THE 0 DESC ED RE NTIAL PROPERTY V SIGNATURE 10 - 50 5000 PERMITTE 0 50 - 100 1000 G DISTRICT NO CLASS ZO PROC 35ED Y ll.1 100 — 500 1500 O CL Z SIGN GAS SIGN AND ONE CIRCUIT 5 G NOTES TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 SERVICENOTOVER 600 VOLTS OR 200AMP 1 300 SERVI CE OVER 600 VOLTS OR 200 AM P 1000 APPROVALS DATE INSPECTOR S SIGNATURE TEMP POWER POLE TEMPSERVICE POLE &APPURTENANCES 500 UNDERSLAB WORK TEMP LIGHT OR RECEPT SYSTEM 300 ROUGH CONDIUT WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED PLAN CHECK FEE UTILITY CO NOTIFIED — 77 PERMIT ISSUING FEE 300 FINAL TOTAL FEE V� PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK ' M o CASH 0900-�ffk- 20 2 0 10.50 ®Jo SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE