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1155 APPLICATION FOR ELECTRIC PERMIT �.
DMSION OF BUILDING AND SAFETY
Depaz ent Of County Engmeei rBUILDING �J 6+, `,�
County Of L08 Angeles DRESS !� /r V
JOHN A LAMBIE COUNTY ENGINEER
CASSATT O GRIFFIN SUP T OF BUILDING CALITY
FOR APPLICANT TO FILL IN NEAREST
.L
PERNIIT FEES
NUMBER OWNER A-
LIGHT OUTLETS MAIL A,
WALL
RECEPTACLES ADDRESS T y // A �7 �7Cf
WALL SWITCHES FEE CITY /r'�/�LG L A 7/7//
TOTAL OUTLETS ® 5¢ $ TSS TEL NO
ELECTRICIAN
ELEC RANGES 28
ADDRESS
ELEC HEATERS 25
KW EA CITY TEL NO
STATE
FIXTURES 5 LICENSE NO
MOTORS DISTRICT C NO I GPUP I �ZONJ I READY FOR INSPECTION
NUMBER HORSEPOWER FEE lA•
NEW MVD HP OVER INC EACH
�ac LESS 25 INSPECTION RECORD
Yz 2 50
2 5 100
5 15 150
15 50 250
50 200 Soo
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT ,g.A
WIRING $1 00 V
FIXTURES $1 00
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE $ DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ? C ^n Q J
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES v
LICENSED AS REQUIRED BY LOS ANGEL C TY AND STATE OF
CALIFORNIA OR THA M THE LE OF TH ABOVE POWER
DESCRIBED RESIDE A ROPERTY
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE FINAL L
JOHN A LAMBIE Co NTY ENGINEER VALIDA ARTHUR C VEIT Cru EF ELECT INSPECTOR
CK MO CASH
1�0 N APR 9 2 1 2 5 in