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'°A -`ee°eLsa APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 6922Arden .Avenge
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING cmi LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
PERMT FEES CROSS ST.
OWNER John C o Urbino
ITEM NUMBER EACH FEE
ADDRESS 2 Arden Avenue
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LMAIL
IGHTS ThE
RCEPT. 1 SW. lO 0 $ .10 $ 00
LIGHTING FIXTURES 11 .10 1 10 CITY Temple Gity TEL.NO. GT 4-5977
ELEC.RANGES CLO.DRYERS ELECTRICIAN
P.O.
E'jax Electrical n
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WATER HEATERS .50 ADDRESS a O o Box 458
ELEC.SPACE HTRS. DISHWASHERS CITY Bellflover TEL. NO. E 62
GARBAGE DISPOSERS AUTO.- - STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO. 174519
MOTORS: OVER INC. H.P. DISTRICTNO. I GROUP( ZONE I PCESSEDBY
O— 1/2 .25 �
1/2— 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
is— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00 1 00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 1 00
FIXTURE PERMIT 1.00 1 00
SUPPLEMENTARY PERMIT .50
TOTAL FEE S 8 10
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES A
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER /1
SIGNATURE UTILITY CO.NOTIFIED
OFPERMITTEE
FINAL �V
®F DATION ARTHUR C.VEIT,
CK Mo CASH SUPERVISING ELECTRICAL ENGINEER
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