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HomeMy Public PortalAbout10148 GREEN ST_Electrical__ MPE�NSATION DECLJ�RATION 10/81 Af�PLICATION OR ELECTRICAL PEIiMIT- I?Web'y,.arfft, a oerd lcate or consent to sett kvKM. or a oerItkate of Vrbrt®rol,C erponsaton Insurance,or a cerWW COUNTY OF LOS ANGELES BUILDING AND SAFM. oopy therw(sec.Wo 0,Lah 1:�) ho8oy%a.• C&jam,"- Fc3Fi DAPI lcAr+T ra Fu a+ ADPFE86 • S1 © Certffled copy.Is bereb� turrietled• Now FA6Jw tial Bldgs&-PodQ t E �/ M (�brttfted oopy is flied'with tits =&drt txlffdlr g inspection 1 3 2�amfly,�4-Ft S — a' LOC1�LJlY /x IA deportrnent L "A-famoy Sq.Ft �- CF3O sit A. r' Reeiden%,Swlnmlrq Pook ONTER OR r-r+- FFtM WAE II CERTFlK_*ATE'OF,E)CEMh710N FROM WOR}(FJ33 Ctrtefa fast — Ligtrt T sw..-- �y ' CgMPENS/CRON IN$LH�ANC,E. �noRr ss e r i Ftrat 20! (l}ry wctldn net.be,cortp{attid ff the work ktvdhd try ttw `Total Na ,Addlfbrrei , ' '�' hJ ' permft is for-.One hundred dollen(>R100)or lam) , PLMI•ClfCK n , L•certIfy'thaf,lA the pulormaboe of the work'for wfrlgb thb permft r .. ie I ehaa,not srtdoY.an-mss an arty nWner-so as to , become %itject•t4 tqf*Work— Compeell }rie�rion Lewy /f I-1M&Q F� 4� 12Q ADDRESS' Dais/ /Is•:.p pp4carrt/�-moi 4✓ti4�4LI �•, Total No. GAY y NC}71(�•'TO, AP9�_ICANF:74 after maidng this C &kt ate of Ft�d Appllerrces Npt Over 1 HP pp r ` E, ,,you iia- fd-become eub)act W� 4'Ge+� R"90 — Hastier—_P.W; !/ r►.+ �' - Pfovk kh8,of,ihe Lahor Code.yco�t►orthMy►th w" dill ET en Dryer• W:M, ADDRESS ,p{ovlpi-or•tris pernrft Shell be deemed:revo4 ed _ _ .T6R- ._ -FAU.• WJ11.,_., Tel. 5 Cl�� LIC' N CQf�ACT0RS-QECLARffI N ,. Hood Fan Other_. 1 hete¢y, mr that-} qn licensed,under PfwVaione o. 9 PR. - Clem- --Dle�-r R¢onr Air Codd. REr?L (commerdrig with 0ecllon 7000),.of,DWfgiorr 3 of the Biidrtege emd Profesetone Cods,and my license i�ln full force end 9ffeot' Power Apparatla d UkW,APP4>b- Dte W7 Na Hh, Stre d Type HP,KW,KV'�.oP K1Afa Lbense Number S Lia Gissa Up to 1 Incl. DA conhaomr ' ''`�6 `� i. Over 1,ra t4 lino+. 23 *UQKM - o Data Over 1 Q to 60 rt,d: FINAL LLI I am exempt tinder Sep- ; Ovbr 60 to-100 Inc... BY... B. P.C.for tic Over 100 lA Arm• rider � I Z , } 201- V6der 600 V . - Over 1000 Amp.or Q_600 V Exemption Tor Req.Maim Elect. ; L E FAMILY` Temp.Power,hole& Appurt& ncee r HOME oWNEA 8l}II�DER DhC1AAATION g��Oue g�roh OlYwft I hereby affirm that I em exempt frc6 the f ontrktor°Uoerrse Law _ for the fo4off+ lg reason jSeodon,7031.6.Buerxm and Profel�slcne.'. Addb � french Clrovfte - TrT Ggde> 65.60 - - M]so.Coadutts B.Cordiictore� , - •. - T , t as owner`oT Itto prope0y,wlr do qhs work and the eb'gohu9 1 i F 0147 I e not Yhterrde� or offered for 4t* (Sgcton 7044, Bueinam Otr&(See Cornpibte_�ee die)__T fNa�fae°io<m('lode).. �. TOTAL 6`3 60. . CON$TF?t{ ON Lr= DN6 gOENCY 4iL4n '65.f0 thereby fdN.. that.there Ie.a conetri,dion lerldlr�p BUN-Cy fof the fln of the wont for Whlah t7ls•permft ie leaued(Sec.8097, PERMrr FES• �Sdb-7otal) .w PLAN-Ct-PECKING FEE•-, Londere Name 0000- 001 : 1/25/96 PERMIT ISSUING FEE _rom / prLmxlee �i+� I o °wttfy tl�dheve read tt)Ib apA3cation and elate that the above. tw TOVAL FEE r111� h information to I agree to cdrrrpfy Wro dl County ordtnffircee and State 4oes repria" Elect>'ical wiring, and bereby aubortre repreeerrtalfvee of thb enter mon,the above rrrerrtbned property for SEE RE. RSE FOR EXPLANATORY lANGUAOE Date