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18A693 CESOB 10 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
c
PERMIT FEES OWNER /
I T E M NUMBER EACH FEE MAIL
OUTLET '$ 5 ADDRESS
LIGHTS RR CEPT SW 10 CITY TEL NO
LIGHTING FIXTURES 10
L G CLO DRYERS ELECTRICIAN /e L
WATER HEAT j 50 ADDRESS
ELEC SPACE HT 1iER8
CITY TEL NO
GARBAGE DISPO AUTO STATE y
WASHERS TA COOKING UNIT 25 LICENSE NO
MOTORS OVER INC H P DIST T O GR ZONE PR SSED BY
0- 1/2 ol
2 S
1/2- 2 50 INSPECTION RECORD
2- 5 100 CL
O
5— 15 ISO u
15— 50 250 - Ix
O
50— 200 500 v
SIGNS NO TRANS Ln
L'
NO LAMPS
rz
SERVICE O 600V 1 00 D D 1
SERVICE OVER 600V 500
M ISC
0
WIRING PERMIT 100 610
FIXTURE PERMIT 100 10D
SUPPLEMENTARY PERMIT 50
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 1
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES {
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPER POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE
FINAL
"I'll/ Vil t 11 /
IDATION RTHUR C VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
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