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70A668 CE8067 BB APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
P�,I, FEES
CROSS S
I T E M NUMBER EACH FEE
OWNER
OUTLETS $ $ MAIL
LIGHTS RECEPT SW 10 ADDRESS r
LIGHTING FIXTURES 10 CITY CZjAjATEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN
W A T E R H EATERS 50 ADDRESS Ail
ELEC SPACE HTRB DISHWASHERS
CITY TEL NO
GARBAGE DISPOSERS AUTO
STATE
WASHERS STA COOKING UNITS 25 LICENSE NO
MOTORS OVER INC H P DISTRICT NO GROUP z0 E P SSED B
0— I/2 25II
lie— 2 50 INSPECnON RECORD ,
2— 5 1 00 ,
5— 15 1 50 :!E,
15— 50 250
50—200 500
SIGNS NO TRANS
NO LAMPS
SERVICE O 600V 1 00
SERVICE OVER 600V 500
MISC
l
e
WIRING PERMIT 1 00
FIXTURE PERMIT 1 00
b
SUPPLEMENTARY PERMIT 50
TOTAL FEE APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 l�J
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR —��
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIPROPERTY POWER
SIGNATURE UTILITY CO NOTIFIED �j
OF PERMITTE
FINAL
ALIDj{ ARTHUR C- VEIT
CK mo cps SUPERVISING ELECTRICAL ENGINEER
I
LG
2 7 I'D to; FEB 2 4 2 A 200