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FBA663 CES0610 60 APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A'JENSEN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN +CROSS ST
PERMIT FEES OWNER
I T E M NUMBER1 EACH FEE MAIL
OUTLET $ $ s� ADDRESS
LIGHTS ECEPT SW 10 j CITY TEL NO
LIGHTING FIXTURES s tp
ELEC RANGES CLO DRYERS ELECTRICIAN JR1
77�� coon
WATER HEATERS SO ` ADDRESS 8923 E.Broadway
ELEC SPACE HTRS DISHWASHERS At
CITYSan ],G TEL NO
GARBAGE D1SP AUTSTATE
WASHERS STA COOKING UNITS c 28 LICENSE NO 1 17/ 987
87 +1
MOTOR OVER INC H P DISTRICT R Z N
O GE PROCESSED BY
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1/2— 2 so //� INSPECTION RECORD
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09
SO— 200 Boo 0
SIGNS NO TRANS
d
NO LAMPS h
SERVICE O 600V 100 * Z
SERVICE OVER 600V 500
M ISC
s
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT so
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 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 3 A
1HEREBY CERTIFY T AM PROPERLY RE S ER AND/OR �.//
LICENSED AS REQUIR LOS ANGEL U A ATE OF FIXTURES 7/rp, C�
CALIFORNIA OR THAT I M THE L O O E ABOVE p
DESCRIBED NTI ROPERTY POWER
SIGNATOR A UTILITY CO NOTIFIED t / / IZ
OF PERMI FINAL �'� `
f
IDATION ARTHUR C VEIT
JJMO CASH SUPERVISING ELECTRICAL ENGINEER
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