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'BAGS3 CEBOS 10 60APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS /ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Sg
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN cRoss ST
PERMIT FEES OWNER 9 r�
ITEM NUMBER1 EACH III FEE MAIL
ADDRESS I ✓`/
OUTLET $ S
LIGHTS RECEPT SW 10 CITY TEL NO
LIGHTING FIXTURES 10 �a�f�/\ r �
ELEC RANGES CLO DRYERS ELECTRICIAN
WATER HEATERS SO ADDRESS 5-;-? 11,41-4704'1
ELEC SPACE HTRS DISHWASHERS
CITY Q✓(/r TEL NO
GARBAGE DISPOSERS AUTO STATE �+
WASHERS STA COOKING UNITS 25 LICENSE NO ^2— J
MOTORS OVER INC H P DISIRI NO I GRQVP I ZQJNE PR ESSED BY
0— 1/2 25 1 o-
1/2
1/2— 2 5O INSPECTION RECORD
_ a
2— 5 100 �p / (ie/ J?Q r+/ 0
5— IS 150
CC
15— 50 250 r V
so— 200
Soo
W
d
SIGNS NO TRANS
NO LAMPS _
SERVICE O 600V / 100
SERVICE OVER 600V 500
M ISC
WIRING PERMIT 100 +
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE IVA
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT 1
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPER v POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE. FINAL
(DATION ARTHUR C VETT
SUPERVISING ELECTRICAL ENGINEER
C MO CASH
U E0 7 a a 1 J1! r D 381