HomeMy Public PortalAbout9538 BISBY ST_Electrical__ 7°"1��'" APPLICATION FORE_LECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB r G <[. c
FRn
ential Bldgs.8 Pogls �� NO. FEE ADDRESS ✓ U J O_ J -
amily,Sq. Ft. S 025 — $ LOCALITY e/ _
amily Sq. Ft. .02 — R L '\ L V
25.00 $T., T
)ial$wjrpminq Popls Wy
MMI ,� : , _ v
i Light—' SW. ADDRESS 6 ^
First 20 .50 CS
o. Addrtonal .30 CffY�. - - _- ._TeL No. 2PLAN CHECK
APPLICANTixtures First 20 50 ADDRESS
Addhbnal .30.o. CITY Tel. No.
Fixed Appliances Not Over I-HP 7MMR ---
-_-_ -
Range—Heater—D.W. APPLICANT
ADDRESS
Oven_Dryer_W.M T
- - --
Top —FAU —W.H._ CITY Tel. No.
Hodd_Fbn _dther_
LIEOR
Dhp.—Room Alr Cond. - 2'50 Rfg.NUMBER Class. --
I HEREBY ACKNOWLEDQE THAT 1 HAVE READ THIS APPL CA-
Power Apparatus&Large Appliances TK)
AND-STATE THAT THE ABOVE IS CORRECT AND AGREE TO
SI HP, KW, KVA,or KVAR COMPLY'W✓1'TH ALL.COUNTY'ORD-INANCES'-AND" STATE -LAWS
S!)XHP, KW, KVA,or KVAR
REGlJL4TING ELECTRICAL WIRING.
Up to 1 Irk. 2.50
tHEREBY CERTIFY THAT I.AM PROPERLY'RfQISTERED'AND70R "U
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED.BY LOS ANGELES COUNTY AND STATE OF I=
Over 10 lo 50 Ind. 12.50 CALIFORNIA OR 117LA3 1 AM THE LFGA _OWNER QF DHEA LBOYE
2500 DESCRIBED RESO Pl20PERTY. -
Over 50 to 100 In .
c, pfRMTTEE.
Over 100 -40.00
SIGNATURE
Sery cei-.. DISTRI BY
0 200 Amp.Under 600 V 12.50 j�
201=1000 Amp. Under 600 V 25.00 l
Over 1000 Amp.or Over 600 V 50.00 z
Temp. Power Pole&Appurtenances 10.00 A
Sign with One Br9nch Circuit .10.0.0
Additional Sign Branch Clrcufh 2'00L, INSPECTION > 9 J n
INFORMATION
Mfsc Conduits¢Conductors 10.00 - - ON REVERSE- c c n
Other(See Complete Fee Schedule) SIDE ._
U 0 . co
PERMIT FEE ISu&Totall _
C, .
FILA N"CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE
TOTAL FEE <>
INSPECTION FINALED
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