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HomeMy Public PortalAbout9026 JAYLEE DR_Electrical_12/20/1956_electrical ranges APPLICATION FOR DBS-SA 11.55 , LECTR�C PERMIT DIVISION OF BUILDING ARID SAFETY Deparbnent of County Engineer BUILDING ' County of LOS Angeles ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER 0 7 CASSATT D. GRIFFIN.SUPT OF BUILDING LOCALITY a FOR APPLICANT TO FILL IN NEAREsr �1 3 PERNIIT'FEES CROs ST. Q NUMBER OWNER LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES FEE CITY TE NO. TOTAL OUTLETS @ S2 $ _ ELECTRICIAN " ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 �� O CITY KW EA' STATE FIXTURES 5 LICENSE NO. MOTORS DISTRIC NO.. 1GROUP1 ZONE I READY FOR INSPECTION NUMBER HORSEPOWER FEE �'. NEW MVD. HP OVER INC. EACH ' 1/2 IN LEBB $ 25 INSPECTION RECORD I/2 2 .50 2 S* 1.00 � 5 15 1.50 �.—�,/�Pj C'�X���• 4��L !�jT J 15 50 2.50 50 200 5.00 MISC. i 17– b+-/�/ O T�A7–Pg x' NO.SIGNS NO.TRANS. NO. SIGNS NO. LAMPS lT� ` 6a, �/ ;�YpLA�/✓t/ l� FOR EACH PERMIT: Irl%A5/?r WIRING $1.00 wlV ( ' ..� zRpYY FIXTURES $1.00 �U SUPPLEMENTARY '.50 �; .APPROVALS TOTAL FEE $ DATE - INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ,u AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYa CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR . FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF — CALIFORNIA OR THAT I AM THE LEGAL O Et OF THE ABOVE POWER DESCRIBED'RESIDEN PR P TY. /J SIGNATURE UTILITY CO.NOTIFIED ��Ra �aa►s p j OF PERMITTEE FINAL JOHN A.LAMBIE. COUNTY ENGINEER ,�ID ATION ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR CK MO CASH > 3 5 51 u DEC 2 0 2 1 .5.0 1n • f � I