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76A663-CE806 8.62 APPLICATIC F® ELECTRI_ AL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING7S�
BUILDING AND SAFETY DIVISION ADDRESSJOHN A. LAMBIE, COUNTY ENGINEERWILLIAM A. JENSEN, SUPT OF BUILDING LOCALITYNEARESTFOR APPLICANT TO FILL IN CROSS ST.
RECEPT. Z- TOTAL NO. EACH FEE
OUTLETS (FIRST 20 6,20 5 `10VA CI eft ,�
LIGHT l 'MAIL
3 WITCH. ADD'L f0 AD'JRESS
1 OVER 20 /� J f/�
LIGHTING I TOTAL FIRST 20 .20 CITY L / EL. NOr l� —� / �+
FIXTURES 11` ADD2 1O F,L.=CTRICIAN /.) L
OVER 'L
RANGES CLO.DRYERS WTR.NTRS. 1.00 ADDRE 6
GARB.O13P. SIA.COOK CITY Y/ NO (N� .�S
DISHWASH. AUTO,-WASH. STATE /��� •C/
SPACE HTRS. STA.APP.(ye H.P.MAX.) ,50 LICENSE NO.
MOTo1xS: OVER NOT OVER M.P. DISTRICT NO G OU ZONE P O E ED
O 1 1.00 `/1. ,�
1 3 1.50 INSPECTION RECORD
3 6 2.00
6 15 12.50
15 50 13.00 T
50 100 15.00 O
U
SIGNS: NO.TRANS
NO.LAMPS
LAMPSAMPS O
SERVICE 0-600V-NOT OVER 200A '00 V. �Q t1.I
SERVICE 0.60OV-OVER 200 A. 2.00 1
N
SERVICE OVER 600V 5.00 z
M/ISC.
PERMIT ISSUING FEE 2.00 QQ
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 5
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS mmINSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR
LICENSED AS.REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES -
CALIFORNIA OR THAT I TME LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIA PERTY. POWER
SIGNATURE .�_ UTILITY CO.NOTIFIED I
OF PERMITTEE ' -.
FINAL
LIDATION ARTHUR C. VEIT
MO CASH
SUPERVISING ELECTRICAL ENGINEER
CK
LI,;'o 3 63 1:o :•'A'i 14 2 D 3.4 Q-