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76A663.EE806 10-62 APPLICATION FOR ,ELECTRICAL PER `9��4
COUNTY OF LOS ANGELES - _
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT GF BUILDINGLOCALITY
NEAREST
FOR APPLICANT TO FILL IN I CROSS ST.
RECEPT, r j TOTAL NO. EACH FEE I L O
OUTLETS FIRST 20 $.20 S OWNER
LIGHT MAIL
• ov ER 20 .f0 8h ADD'LADDRESS
SWITCH. U jPR%0CESSED
TOTAL CITY TEL. No.
LIGHTING I FIRST 20 � 'U .20
FIXTURES �-- ADD'L
OVER 20 .to 1 ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 1
GARB.DISP. STA.COOK
CITY TEL.NO.DISHWASM.1 AUTO.-WASH. STATESPACE HTRS. BTA.APP.(y H.P.MA%.) .50LICENSE NO.MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUPZONE O — 1 1.00A'--
1 s 1.50 INSPECTION RECORD
a
d
s a 2.00 0
a — 1s 2.50 V
m
15 50 3.00 0
50 100 5.00
d
SIGNS: NO.TRANS.
NO.LAMPS Z_
SERVICE 0.60OV-NOT OVER 201A 1.00
SERV I CE 0.600V OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
i'
PERMIT ISSUING FEE 2.00 F
SUPPLEMENTARY PERMIT ISSUING FEE 1.001 -
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -L 11
ELECTRICAL WIRING, '• WIRING -m / IKA
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I ASA THE LEGAL OWNER OF THE ABOVE -
DESCRIBED RESIDENTIAL RGPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
LI ARTHUR C. VETT
UK
MOO CAS CASH SUPERVISING ELECTRICAL ENGINEER
1 9 3 5—� JUL29 2 D 1 8.90-
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