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HomeMy Public PortalAbout5210AGNES AVE_Electrical (5) J y. t � ( I 76A663 CE 80616/76) APPLICATI(_ ZO FOR ELEC RICAL PERMIT COUNTY OF LOS ANGELES BUILDING AN SAFETY FOR APPLICANT TO FILL IN -ADDRESS �O S New Residential Bldgs &Pools EACH NO FEE 1 &2 Family Sq Ft $ 025 — $ LOCALITY Multi family Sq Ft 02 — NEAR25 00 CROSS ST EST Residential Swimming Pools OWNER OR FIRM NAME Outlets Rec Light Sw MAIL First 20 50 ADDRESS Total No Additional 30 CITY Tel No•ZT,-W/ PLAN CHECK APPLICANT Lighting Fixtures First 20 50 ADDRESS Additional 30 w Total No CITY Tel No ) Fixed Appliances Not Over 1 HP PERMIT APPLICANT Range—Heater—D W ADDRESS Oven—Dryer_W M— �-- Top _FAU — W H CITY Tel N Hood_Fan —Other LICENSE OR Disp —Room Air Cond 2 50 REG NUMBER Qv Glosses 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&T COMPLY WITH ALL COUNTY ORDINANCES AND STATE--LAWS Type HP KW KVA or KVAR 2 50 REGULATING ELECTRICAL WIRING Up to 1 Incl IHEREBY 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 W Over 10 to 50 Incl 1250 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 0 25 00 _ r DESCRIBED RESIDE IAL P TY 0 Over 50 to 100 Inc - Over 100 4000 PERMITEE SIGNATOR N Services DISTRIC NO _ P�OCESS�D BY 0 200 Amp Under 600V 12 50 J 201 1000 Amp Under 600 V 25 00 c C1 �J Over 1000 Amp or Over 600 V 5000 Z f O - Temp Power Pole&Appurtenances 1000 Q c Sign with One Branch Circuit 10 00 � Additional Sign Branch Circuits 200 INSPECTION > INFORMATION v Misc Conduits&Conductors 1000 ON REVERSE s Other(See Complete Fee Schedule) �SIDE U 1 1 1 6 A Z # 0000 ° 2 o. PERMIT FEE (Sub Total) ` Z o o - 14506 _ PLAN CHECKING FEE (One Fourth Permit Fee) O t03-78 PERMIT ISSUING FEE $700 Y .. J TOTAL FEE > INSPECTION F NALED o�c date �� / ��f By 1 ` ©: