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HomeMy Public PortalAbout5728 GOLDEN WEST AVE_Electrical__ i 76A683CE-806(6/78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB - New Residential Bldgs &Pools EACH NO FEE _ ADDRESS S �7 s/ 1 &2 Family,Sol Ft $ 025 — $. LOCALITY- Multi-family Scl Ft 02 — NEAREST CROSS ST oc� Residential Swimming Pools 25 00 OWNER OR FIRM NAME Outlets Rec_XLLight__6LSwJ_Q__ AIL i First 20 50 `Q ADDRESS Total No Additional 30 ) CITY Tel No PLAN CHECK 10, APPLICANT Lighting Fixtures First 20 50 ADDRESS Total No _ Additional 30 CITY Tel No Fixed Appliances Not Over 1 HP PERMIT % APPLICANT� Range_Heater_ D W ADDRESS Oven—Dryer_ W M— Top _FAU _ WH CITY No Hood_Fan _l Other_ l LICENSE OR Disp —Room Air Cond 2 50 , REG NUMBER Q 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 176 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 THE ABOVE Over 50 to 100 Inc . 25 00 DESCRIBED RESIDENTIAL PROPERTY Over 100 40 00 PERMITEE / SIGNATURE/ Services f� DISTRICT NOPR SSE B 0-200 Amp Under 600 V 12 50 oC 201 1000 Amp Under 600 V 25 00 v �� Over 1000 Amp or Over 600 V 50 00 a _ Temp Power Pole&Appurtenances 1000 �d ~ Sign with One Branch Circuit 1000 Aa Additional Sign Branch Circuits 2 00 INSPECTION > Misc Conduits&Conductors 1000' INFORMATION _.ON REVERSE x Other(See Complete Fee Schedule) SIDE .` Z 1 7.4 A # a °'° oo2 PERMIT FEE (Sub-Total) 2 ° ° 3 6'6 0 PLAN CHECKING FEE (One-Fourth Permit Feel O '0_0 ° 3 6 6 0 E 2 PERMIT ISSUING FEE• $7 00 c C E 0 3�—7 9 TOTAL FEE �o > INSPECTION FINALED W date -711 f/7 7 By ��D('/2t ci Z)e,e� ©s