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T�eAA663-C[e06 9-64 APPLICATION FOR ELECTRICALIT I.I
? LIOUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY
NEAREST
Ppu T I IN CROSS ST /m4l ILA
7L:IGHTING
AL NO [ACII
ETS FIRST 20 Pto S IID B QQ OWNER
I MAIL 14Z 4,
ADD'L10 OADDRESS
OVER 20AL O CITY TEL No
1 riRsr 20 IID.� AOD'L 10 ELECTRICIAN
ova 20
RANGES CLO DIIYQRS WTa HTRI 100 ADDRESS
MIO DF" 2„ STA COOK
CITY 1 TEL No jjEXr
DIRIWASH I AVTO WARN STATC
SPACE HTRS STA APP (wNr 1 60 LICENSE NOMOTORS, ovER NOTOVER HP DISTR N GROUP
O 1 12 100
.3 1 — a 160 q A INSPECTIO RECORD
a B zoo p
S 15 250 U
16 Bo 300 p
SO 100 600 1/
HO TRANS a
SIGNS, NO LAMPS y
Z
SERVICE O SOON NOT EVER 200A I DO
SERVICE O 6ODV OVER 2.00 A 200
SERVICE OVER SOOV 600
M18C
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100 '
TOTAL FEE
1 ME " ACKNOWLEDGE THAT I HAVE RUD THIS LICATI N PI DArE IN!
AND STATE THAT THE ANIS" IE CORIQLT AND AGREE TO COMPLY CONDUIT
WITN Au COUNTY ORDINANCRR AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I weReev CeRnrr rn♦r I AN PROPERLY Riomr[R eD ANOIOR FIXTURES
uceneeD L1 RATIFY
B1 LOS ANGELES COUNTY L.D STATE or
CALIF OR
OR THAT I • rM6 LEGAL OWNER OF AN INTe NO To
RealoE IN THE AeoYE Ia.. REDGenruL PROFS POWER
SIGNATURE UTILITY CO NOTI►IED
0► ►ERMITTE!
Cr,�S/�/;7 FINAL
DATION JOSEPH C ROOHAN
MO CASH SUPERVISING ELECTRICAL ENGINEER
p9802�8 Fel 8 2 0 42.70 a