HomeMy Public PortalAbout9328 BROADWAY_Electrical__ 76A663 CE:BOS( t%78)� ADPL A B •®If( IGLE "IC -LIMMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT.TO FILL IN JOB
New Re-ssidenii5r Bldgs.ePools •:EACH- NO. FEE ADDRESS --
I &2-Family,So. Ft. $ .025 - $ LOCALITY
Multi-family Sq. Ftp .02` - NEAREST
•„Residential Swimming Pools 25.00 CROSS ST. A i_ 0 20
OWNER OR._ -. _.. - _ -_ - -_-
FIRM NAME Ul4d 1
Outlets:Rec—Light_Sw.._ .2
' _ _ MAIL _ _' _
_-
First 20 .50 ' ADDRESS 'L '-',i..• r•n`dO1✓-FFA ,
.-Total.No. ._ Additional-- .30 CITY ^_���, -�i/. _._.[el.JJo..28'h•j�' .
PLAN CHECK
_ . .. _ ... ._. _... _ ...APPLICANT
Lighting Fixtures First 20 .50 .ADDRESS
..
Additional'=' .30
�Totol No CITY .'Tel. No.
Fixed Appliances Not.Over.I HP PERMIT -- - ---- - - - •- - - -
Range_Heater_D.W._ APPLICANT
-Oven'___-Dryer_ W.M.— - ADDRESS -----
Top _—T-AU1 W.H. -- CITY . .. .. .t ._. .G ---Tei..No,Z8• -38�55� --
'Hood_Fan _Other_ LICENSE OR
Disp.—Room,Air Cond. 2'S0 _ REG.NUMBERClass._ .
I HEREBY 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'ANG-STATE.LAWS'
Type HP, KW,KVA,or KVAR 2 50 REGULATING ELECTRICAL WIRING. O
Up-to 1 Incl._ --I H F.R E BY'C E RT I FY THAT I'AM'P ROPERLY'REGI ST ERE D AN 0IOR' -U
Over 1 to 101act. 5'00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF In
---• Over.-10 to 501ncE •- 12.50 - - CALIFORNIA_OR THAT_I_AM THE LEGAL.OWNER OF-;THE.BBOVE- --...0
25.00 DESCRIBED RESID TIAL PROPERTY.
Over 50 to 100 Inc. . .pERMIiEE, 5�
_.. . .- _ 40:00._ .- w.. �// _ .- `
Over. 100 SIGNATURE • 1.4
5ervice - 12,50
7250- - DISTRICT'N¢� --'- F S D 3Y-
,*
0:2004/mp.Un er600V /Jn
-201-1000 AmP Under 600V: 25.00
Over 1000 Amp.or Over 600 V 50.00- Z `
O
Temp. Power,Pole&Appurtenances`," 10 DD
Sign with One Branch Circuit 10.00 -- - - -'0
Additional Sign Branch Circu its 2'00 INSPECTION fi
INFORMATION u
Misc.Conduits&Conductors `_ 1'0:00 ON REVERSE-' ' 'i +
Other ISee Complete Fee Schedulel �
SIDE _ _2
Is
PERMIT FEE ISub'.Tatall ��
PLAN CHECKING FEE 10nd-Founh Permit Feel C I 207-79
PERMIT ISSUING FEE
TOTAL FEE iC�� > ,
INSPECTION FINALED
dote: 3
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