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TCABBB CESOB >as ' APPLICATION FOR ELECTRIC PERMIT )
BUII ING AND SAFETY DIVISION
Dspm ant of County Englncea BUILDING
County of Los Angel" ADDRESS �.
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN, SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSSST
NEARS B' 41,
PERMIT FEES
NUMBER OWNER 1
LIGHT OUTLETS MAIL
ADDRESS
RECEPTACLES
WALL SWITCHES FEE CITY T NO
TOTAL OUTLETS 0 59 ELECTRICIAN
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 CITY TEL NO
KW EA STATE
FIXTURES p
LICENSE NO
MOTORS DISTRICT O GROUP Z NE I READY FOR INSPECT lox
NUMBER HORSEPOWER FEE
NEW MVO HP OVER INC EACH
e LEBa IS 25 INSPECTION RECORD
2 50
2 5 1 00
5 15 1 so
ID SO 230
50 200 Soo
MISC
NO SIGNS NO TRANS ,
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING PERMIT $100 UG
FIXTURE PERMIT f I OO
SUPPLEMENTARY so APPROVAIS
TOTAL FEE DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AMD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUjfVrY AND STATE OF POWER
CALIFORNIA OR THAT 1 AM THE L AL R OF THE ABOVE
DESCRIBED RESIDEN PE UTILITY CO NOTIFIED Z
SIGNATURE
OF PERMITTEE FINAL +
JOHN A LAMBIE � ARTHUR VEST
COUNTY NGINM�t WdPATION SUPERVISING EL[GTRICAL 6NOINHB1l
MO CIJM
LG5 0 1 07, FEB11 z 100 a