HomeMy Public PortalAbout4911ALESSANDRO AVE_Electrical (3) / � U
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76A663 C 806 16/76`
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB -T
New Residential Bldgs &Pools EACH NO FEE ADDRESS , 4e:s
1 &2 Family Sq Ft $ 025 — $ LOCALITY , t
Multi family Sq Ft 02 — NEARESTCROSS ST r "
Residential Swimming Pools 25 00 OWNER OR _ A
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Outlets Rec Light Sw MAIL
First 20 50 ADDRESS YVIIAK Le_ .S X v 317(
Total No - Additional 30 CITY E C 7- Tel No � - Otl
PLAN CHECK' r
APPLICANT x
Lighting Fixtures First 20 50 ADDRESS 611 N,
/ 30
Total No 1 Additional �
CITY 1. C Tel No ;�jp7�
Fixed Appliances Not Over 1 HP PERMIT e
Range_Heater_D W APPLICANT
Oven—Dryer_W M— ADDRESS w
Top _FAU _'WH CITY Tel No
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
2 50 REGULATING ELECTRICAL WIRING
Up to 1 Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0
Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V
Over 10 to 50 Incl 12 50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 010
Over 50 to 100 Inc
25 00 DESCRIBED RESIDENTI PROPER
Y 0
Over 100 40 00 PERMITEE
SIGNATURE f.
Services DISTRICT NOPROCES ED BY
0 200 Amp Under 600V 12 50
201 1000 Amp Under 600 V 25 00
Over']000 Amp or Over 600 V 5000 Z `
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Temp Power Pole&Appurtenances 1000 Q
Sign with One Branch Circuit 10 00
Additional Sign Branch Circuits 2 00 INSPECTION >
Misc Conduits&Conductors 1000 INFORMATION U"ON REVERSE, z
Other(See Complete Fee Schedule l SIDE ~u :9 0 3 3 A
Z
3
6 # 0 0 0 0 0 2
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2po2100
PERMIT FEE (Sub Totall 1f
Z 0002100 ]
PLAN CHECKING FEE (One Fourth Permit Feei t O
PERMIT ISSUING FEE $7 00 pin,I I 6y/ 8 0
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4 Q
TOTAL FEE l��0 >
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INSPECTION FINALED W
date 37 2 " X By is