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76A669-CES0610.59 APPLICATION FOR ELECTRIC PERMIT �.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ` rL ,��y�
BUILDING AND SAFETY DIVISION ADDRESS \��. /l� ✓�tY
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT of BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
ROSS sT. /� S
PERMIT FEES < g�
1 TE M NUMBER I EACH FEE OWNER
MAIL
OUTLETS: $ ADDRESS
LIGHTS RECEPT. SW. .10 /
LIGHTING FIXTURES 10 CITY TEL.NO,-
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL. NO.
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS .25 LICENSE N
MOTORS: OVER INC. H.P. DIST CT NO. I GROUP ZONE I ESSED BY
0— 1/2 25 ( p
1/2- 2 .5o 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
SERVICE OVER 600V 5.00
MISC. .
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 -
SUPPLEMENTARY PERMIT .50
TOTAL FEE
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.
1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED B S ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I M TH L G ;OWNE!SOF THE ABOV
DESCRIBED RESIDENTIAL P RTY POWER
SIGNATURE _ UTILITY CO.NOTIFIED
OF PERMITTEE" r
FINAL ! l�Fr'.fi1 �.;✓.' �°I'I�f1�^ - -
®F VALIDAARTHUR C.VEIT'
CK MO CASH
SUPERVISING ELECTRICAL ENGINEER
///� 1F��.1I1' /jam j EMIL`I €I11� {1p�( 1Ifl��`�II1�Y � I1�11�.�1
78A669-CE808.10-68 O-G'PY 'UCC Y IO V FOR ELSECTtl YIC" PE0. Y'YVYIT ` •y
COUNTY OF LOS ANGELES a //
DEBUIRTMENT,OF LDING AND SAFETY YDIV DIVISION q....Ess
JOHN A. LAMBIE, COUNTY ENGINEER q _
WILLIAM A.JENSEN,'SUP'TOF BUILDING, - -'LOCALITY. F-G-Ai PCG�'C ;7r-f
a
FOR APPLICANT TO FILL-IN NEAREST. '� -
PERMIT FEES cRoss sr. ,v
'1 ITEM NUMBER EACH FEE OWNERIC/
OUTLETS:` - - .. $ MAIL - -
LIGHTS RECEPr.• 'sw. ` :10 ADDRESS
LIGHTING FIXTURES' ' 3 :10 - SAL
CITY TEL.NO.
ELEC.RANGES CLO.DRYERS .ELECTRICIAN -
•'h'R�d-E A T E R S .50 'ADDRESS
ELEC.SPACE.HTR ISHWASHERS CITY
- TEL. NO.
GARBAGE DISPOSERS STATE -
WASHERS STA.COOKING UNITS .25 �V/ LICENSE NOS' -
MOTORS: OVER INC. H.P. DISTRICT NO. GRO ZONE P CESSE BY!
O 1/2 .:25 to o��
GIN
1/2 - 2 50 INSPECTION RECORD
2,. 5. 1:00
t`�"_�"�t? � •�tai- -.� -s.�.-. � �
5 .15 1.50
15-- 50 2.50
., 50—200 5.00
NO.TRANS.
SIGNS` -
NO.LAMPS rJ'/.• A -
,m SERVICED-600V 1.00
SERVICE OVER 600V .5.00
WIRING PERMIT 1.00
• FIXTURE PERMIT' - 1.00 i
SUPPLEMENTARYrFERMIT .50
TOTAL.FEE . $
I HEREBY 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 '-'I(9' �•b -
LICENSED'AS REQUIRED'BY LOS .ANGELES COUNTY AND STATE OF r FIXTURES
CALIFORNIA OR THAT M THE LE L OWNER OF THE -ABOVE
DESCRIBED �RESIDENTIA ROPER � POWER _
SIGNATURE UTILITY CO.NOTIFIED q
OF PERMITTEE ` FINAL
U
®P VALIDA N ARTHUR C.VETT'
OG� �� SUPERVI ^'-'
SING ELECTRICAL ENGINEER
CK MO CASH -
76A663 DBS SA 11-50 1 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �' IC Z
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
� r7
ELECTRICIAN " 'P 7 (1w v - +'f, 4 / /�
ADDRESS ® i �G,�I A ,� �r �l 7-V ED BY FIRREADY FOR DATE ISSUED
CITY% ,, r�L 3.-4f II TEL. NO. C/iid G/�i 'INSPECTION
Y
COUNTY LICENSE NO. EXPIRES 41 a7 BUILDING 2�� `� q e�
PERMIT FEES ADDRESS 7 !G�
FEE �®
NUMBER EACH LOCALITY b
LIGHT OUTLETS u NEAREST A
f CROSS ST.
RECEPTACLES r7
[� '
WALL SWITCHES NUl __ OWNER c J�I.�3
TOTAL OUTLETS Sc MAIL
„ r i
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS / 25 CITY TEL. NO.
FIXTURES S I HEREBY ACKNOWLEDGE THAT 1 .HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PfeOPERTY DESCRIBED ABOVE.
NEW MVD. HP OVER I INC. EACH /tel
1/z a LESS $ .25 SIGNATURE OF
112. 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD_
s 15 1.50
Is 50 2.50 /`
50 -200 5.00 V N (F "o, 741
200 Boo 10.00 S Ia �/(tf '?�vQ— ..I
soo +000 1s.00 14 T S Z_
OVER 1000 20.00 (�
M. G. SET/FREQ. CHANGER-HP GI G
WELDERS: AC-KVA
GENERATORS-KW 4` '--e Rp
TRANSFORMERS-KVA ��.,P J���r s`pe V. /.`,' � , u r
TEMP. MOTORS (75%OFORIG.). G �T
4T'�
MOVED MOTORS (7S%OF ORIG.) '�npO�-O �/°1��CM 0 N /'/p�R//�6
MISC.
SIGNS
NO. NO. TRANS.' APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
Ioo CONDUIT
WIRING $1.00 yQ
n}�,l
FIXTURES $1.00 WIRING 7'�C �� -��r� A-
N'�' 77
SUPPLEMENTARY .50 I FIXTURES
Q POWER
TOTAL FEE $ UTILITY CO. NOTIFIED _ /I
® FINAL