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TBABBS
101315-SA 8•55 APPLICATION FOR ELECTRIC PERMIT 1
DMSION OF BUILDING AND SAFETY .
Deportment of County Engineer
Countyof Los Angeles BUILDING ter-'
WM.J. FOX, COUNTY ENGINEER ADDRESS /I+� 4
CASSATT D.GRIFFIN.SUPT OF BUILDING ��
1101 LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
NUMBER EACH FEE �
Eti LIGHT OUTLETS OWNER
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES
TOTALOUTLETS 5¢ $ CITY TEL.NO.
ELEC.RANGES 25 ELECTRICIAN O N c
_ELEC.HEATERS 25 ADDRESS r o
f KW EA _ CITY461, TEL.NO '!•! .cs
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS
DISTRICT NO. GROUP ZONE I nEADYYOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS I Yi - I '�I_ A6V
MOTORS r �T YYY FY
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
8 LESS $ .25 C�
b 1/2 2 .50 (A 1
-2 5 1.00 /t_'C E" �'t�f .l£N•-4..
' 5 15 1.50
15 50 2.50
50 .200 5.00
M ISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE g O DATE IN
SPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP ]CATION CONDUIT 1 1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING IO m ,5
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT i AN PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RES IDENTIA PROPERTY.
SIGNATURE UTILITY CO.NOTIFIED I L tE. 6it(120 �
OF PERMITTEE FINAL Z 3 1.S�
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR
i,AC09 9 .6 7 ZR SEP 6 2 7.70