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76A669 CE8061258 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING J
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN
NEAREST
PERMIT FEES
OWNER
ITEM NUMBER EACH FEE
OUTLET $ MAIL
lr
LIGHTS RE
SW ip ADDRESS
LIGHTING FIXTURES 9 - 1 10 - CITY TEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN
W A T E R H E A T E R S 5O ADDRESS
ELEC SPACE HTRS DISHWASHERS
RBAGE DISPOSE CITY TEL NO
�Tr[ AUTO STATE
WASHERS STA COOKING UNITS 25 LICENSE NO
MOTORS OVER INC HP DISTRIC O G N P OCESS D BY
0— 1/2 25
1/2- 2 50 INSPECTION RECORD
2— 5 100
5— 15 150
15— 50 250
50—200 L Boo
SIGNS NO TRANS
NO LAMPS
SERVICE O 600V 100 0
SERVICE OVER 600V 500
MISC
WIRING PERMIT 1 00
FIXTURE PERMIT 1 00
SUPPLEMENTARY PERMIT 50
TOTAL FEE Is
APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 WIRING - v
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LO NGELES COUNTY AND STATE OF FIXTURES ,y,�-
CALIFORNIA OR THA 1 AM E LEGAL ER THE A80VE
DESCRIBED RESIDE IA R RTY POWER
SIGNATURE ' UTILITY CO NOTIFIED
OFPERMITTEE
FINAL
®F VALIDATION ARTHUR C VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
irlc o __ 8 o ' iLL 31 ,, 7 65 t