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IGA643 CEB06460 APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �• �` (/� `I y/vEs
BUILDING AND SAFETY DIVISION ADDRESS /r T
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY M Z�L C L T
FOR APPLICANT TO FILL IN NEAREST }
CROSS ST I►t V �"' �1 A(�
PERMIT FEES OWNER T —R OC,
— ITEM NUMBER EACH FEE MAIL
OUTLETS $ $ Q ADDRESS /�J7 T 5 -'`t Ac3 ti as
LIGHTS-% RECEPT JO SW 10 / �0
� CITY 7'. .� TEL No 4 7'^ �
LIGHTING FIXTURES 10 C)
ELEC RANGES CLO DRYERS ELECTRICIAN 1' a At
WATER HEATERS SO ADDRESS '�.. ^ i✓ L L L t
ELEC SPACE HTRS DISHWASHERS CITY A-N-(4 A B r TEL NO T- [
GARBAGE DISPOSERS AUTO STATE
LICENSE NO 7$ $
WASHERS STA COOKING UNITS 25
MOTORS OVER INC H P DISTRICT O GROUP ZONE P CESSED Y
O — I/2 25
1i2 — 2 50 INSPECTION RECORD
4 2 B
100 nom.
5 — is ISO _9 _�/ �� OV
IB — 50 250 /2 �'�/) 6 /1��! T Q
50 — 200 Boo T �- l U
W
SIGNS NO TRANS
NO LAMPS
SERVICED 600V 100
SERVICE OVER 600V Boo 61
MISC
WIRING PERMIT 100 C O p� �y�� n �
FIXTURE PERMIT 1 pp 0 G U APE eo �J
SUPPLEMENTARY PERMIT 50
TOTAL FEE $ JITIN
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPAPPROVALS DATE INSPECTOR SSIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TONDUIT+ WITH ALL COUNTY ORDINANCES AND BTATE LAWS REELECTRICAL WIRING IRINGi HEREBY CERTIFY THAT I AM PROPERLY REGISTERELICENSED AS REQUIRED BY LOS ANGELES COUNTY AND XTURESCALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THDESCRIBED RESIDENTIAL PROPERTY WERSIGNATURETILITY CO NOF PERMITTEINA
IDATiON ARTHUR VETT
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
U 4 2 4 7 ? 2 2 D 3 9C ^°