HomeMy Public PortalAbout9611 OLIVE ST_Electrical__ I6A688GE-806(6/78) APPLICATION FOR ELECTRICAL PERMIT -
COUNTY OF LOS ANGELES BUILDING AND SAFETY
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FOR APPLICANT TO•FILL IN. JOB.:
New Residential Bldgs.&Pools EACH' NO. 'PEE ADDRESS % ao L.t V G. ST
$ :025 — $ LCALITY P
1 &2-Family,Sq.Ft. OPI-C.. Cik
Multi-family Sq.Ft. •..02 — NEAREST ,�A
Residential Swimming Pools 25.00 CROSS-ST.
OWNER OR _yj �A
FIRM NAME
Outlets:Relight Sw. MAIL.
First 20 -S0 - d v ADDRESS 1617
Total No.. Additional 30 CITY .I+CI.� Tel.No, Zg'�5�
PLAN CHECK
I APPLICANT
Lighting Fixtures First 20 ..50 ADDRESS
Additional _;30_
Total No: CITY Tel.No.
Fixed Appliances Not Over 1 HP PERMIT
APPLICANT
Range_Heater_D.W...— ADDRESS
OVen_Dryer_W.M.—
Top _FAU _W.H._ CITY Tel.No:
Hood_Fan —Other LICENSE:OR
Disp._Room Air Cond. 2'50 REG.NUMBER Class.
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&Type HP,KW,KVA,or KVAR COMPLYWITH ALL COUNTY ORDINANCES AND STATE LAWS y
REGULATING ELECTRICAL WIRING. 3.
Up to 1 Incl.
• 2.50
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/CR Q
Over 1 to 10 Incl. 5.00 LICENSED.AS REQUIRED.BY LOS ANGELES COUNTY AND STATE OF W
Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL.OWNER OF THEABOVE
Over50 to'100 Inr.
25..00 DESCRIBED RESIDENTIAL PROPERTY.
- •
Over 100 4'0,00 PERMITEE:
SIGNATURE. .r� A
Services DISTRICT NO. PqS;L0
0-200 Amp.Under 600 V 12.50
201.-1000 Amp. Under 600 V 25.00
Over 1000 Amp.or Over 600 V 50.:00 Z
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Temp.Power Pole&Appurtenances 10.00 .
Sign with One Branch Circuit 1.0.00
Additional Sign Branch Circuits
2:00 INSPECTION a
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Misc.Conduits&Conductors 10.00 INFORMATIONON REVERSE _
Other(See:Complete Fee Schedule) SIDE ;Q3421 A
Z
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20009,00
PERMIT FEE' (Sub-Totall
PLAN CHECKING FEE (One-Fourth.Permit Feel o v 0 o Q
PERMIT ISSUING FEE $7:00 03,27-79
TOTAL FEE
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INSPECTION FINALED W
date: S l8/�5 By �iP(l�� °. d: ®s.