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HomeMy Public PortalAbout6033 GOLDEN WEST AVE_Electrical__ 76A663 CE-806(I /78) APPLICATION FOR ELECT WCAL PES IT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB �-7 New Residential Bldgs.&Pools EACH NO. FEE ADDRESS. C/ r 1 &2'Family,Sq. Ft. 6-0-0 $ .025 — $ o LOCALITY Gr j �Multi-family Sq. Ft. .02 - NEAREST Residential Swimming Pools 25.00 CROSS ST..40Y �v g MN FFINAMA471_:i Outlets: Rec Light Sw. MAIL _ First 20 .50 ADDRESS Total No. Additional .30 CITY Tel. No., PLAN CHECK APPLICANT Lighting Fixtures First 20 .50 ADDRESS Additional -30 Total No. CITY Tel. No. Fixed.Appliances Not Over l HP PERMIT �.JJ Range_Heater_ D.W. _ APPLICANT �-0�4 GSH. r Oven—Dryer—W.M. ADDRESS �� Top —FAU W.H._ CITY ��� Tel. No. Hood—Fan —Other LICENSE OR DisP:—Room Air Cond. 2'50 REG. NUMBER � I6 CIass/v 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 AND STATE LAWS Type HP, KW, KVA,or 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. 1250 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE, ®. Over 50 to 100 Inc 25.00 DESCRIBED RESIDENTIAL PROPERTY. to 40.00 PERMIT EE Over 100 SIGNATUR Services o - ` DISTRICT NO. PROC SED�Y � 0- 200 Amp.Under 600 V 1 2.50 201-1000 Amp. Under 600 V 25.001 Q Over 1000 Amp.or Over 600 V 50.00 Z Temp. Power Pole&Appurtenances 10.00 Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2'00 INSPECTION > o.00 INFORMATION � Misc.Conduits&Conductors LU ON REVERSE X -2 8 9 9,9 A Other(See Complete Fee Schedule) SIDE y # 00 0 0 0 2 2009450 PERMIT FEE (Sub-Total) to o o 9 4,505 PLAN CHECKING FEE (One-Fourth Permit Fee) O 023, 1 2_$O PERMIT ISSUING FEE $7.00 c J TOTAL FEE �S� > INSPECTION FINALEDr W l �( date: ,�� By a °,t,n ©s