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HomeMy Public PortalAbout5615ALESSANDRO AVE_Electrical 1 76A663 CE 806(6/78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN c JOB New Residential Bldgs &Pools EACH NO FEE ADDRESS ACT 1 &2 Family Sq Ft $ 025 — $ LOCALITY Multi family Sq Ft 02 — NEAREST CROSS ST Residential Swimming Pools 25 00 OWNER OR FIRM NAME Outlets Rec ° Light9�1 Sw MAIL 1 First 20 50 ADDRESS Total No ' Additional 30 CITY T I N PLAN CHECK APPLICANT Lighting Fixtures First 20 50 ADDRESS ' Additional 30 Tocol No CITY Tel No Fixed Appliances Not Over 1 HP PERMIT - APPLICANT Range_Heater_ D W _ o- Oven—Dryer_W M— ' ADDRESS Top _FAU —W H CIT 1 Tel No Hood_Fan _Other_ LICEN E OR Disp _Room Air Cond 250 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 yp 2 50 REGULATING ELECTRICAL WIRING Up to 1 Incl 1 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 141E ABOVE O �y Over 50 to 100 Inc 25 00 DESCRIB RESIDENTIAL PROPERTY 0 Over 100 4000 PERMITEE i SIGNATOR Services iiiTDISTRICT NO PRO SED BY 0 200 Amp Under 600V 12 50 201 1000 Amp Under 600 V 25 00 v Over 1000 Amp or Over 600 V 5000 Z 2 Temp Power Pole&Appurtenances 10 00 Sign with One Branch Circuit 1000 2 3 2 2 5 A Additional Sign Branch Circuits 2 00 INSPECTION > oa0002 l000 INFORMATION W M sc Conduits&Conductors ON REVERSE x 2 0 o'3200 Other(See Complete Fee Schedule) SIDE u ) ` ' Z t o o-c 32005 J_ ` Cal 4-79 PERMIT FEE (Sub Total) _ Z PLAN CHECKING FEE (One Fourth Permit Fee) O r F PERMIT ISSUING FEE S7 00 / J TOTAL FEE - -31 00 > r INSPECTION FINALED o2c nW date /� �6V By ©s