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HomeMy Public PortalAbout5717 PRIMROSE AVE_Electrical_1/11/1977_OUTLETS SWITCHES 76AG63C- C86069 12/79 APPLICATION F R E•LiCTRICAL PERMIT P s' > f' BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JOB / New Residential Bldgs.&Pools EACH N0. FEE ADDRESS d 0 ✓ , 1 &2 Finally Sq. Ft. $ — $ LOCAL IT Multi-family Sq.Ft. — ; NEAREST O fit CROSS ST. Residential Swimming Pools `` OWNER OR GFR{&NAME v )Yj 4f 'e- O t sts: Light,Switch&Receptacle © MAI LADDRESS �7 .M►r`Q.S Additibnal CITY J:i� 1/67 C1 T.I. PLAN CHECK Lighting Fixtures APPLICANT First 20i ADDRESS Additional CITY Tel.No. PERMIT Fixed Appliances Not Over 1 HP Y, APPLICANT. Range_ Heater_. D.W. ADDRESS Oven _ Dryer _ W.M. Top _ FAU — W.H. CITY Tel. No. _ r Hood Fan LICENSE OR Dis . A.C. REG. NUMBER Class. CD P 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 0 Sae&T ELECTRICAL WIRING. O[Type HP,KW,KVA,or KVAR r w Up to 1 Incl. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. 'LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl. DESCRIBED R)�ZIAL PRO P.E RTY. Over 50 to 100 Incl. PERMIT • Over 100 SIGNATOR 9 DISTRICT NO. P CES BY Services 0-200 Amp. Under 600 V' 201 -1000 Amp. Under 600 V LTEMP.OPOWER ALS TE INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE OLE Temp.Power Pole&Appurtenances ORK Sign with One Branch Circuit Additional Sign Branch Circuits IT (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTI LITY.CO.NOTI FIED PLAN CHECKING FEE (One-Fourth Permit Fee) m: FINAL, 'v~'� PERMIT ISSUING FEE NOTES TOTAL FEE -70 PLAN CHECK VALIDATION CK. M.O. CASH PE VALIDATION CK. M.O. CASH 1 0 SIZAN 2 2 7.70 esd