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7GA663 CE806 118YAPPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES /® fit
DEPARTMENT OF COUNTY ENGINEERJllNEAREST
UILDING D '7 C/�C C / 'cfiF' iFd1�"
BUILDING AND SAFETY DMSIONADDRESS eG�
rrOHN A LAMIE Coca
CASSATT D GEIFFiN Supt of atldiagOCALITY
FOR APPLICANT TO FILL IN .�, ��
PERMT FEES �+
ITEM NUMBER EACH FEE OWNER
OUTLETS $ $ MAIL
LIGHTS RECEPT SW 10 ADDRESS// ���gg` //��jF/' ..J ("��,i�( [�`'�
LIGHTING FIXTURES 10 CITY /MOl TEL NO4r41,di ! l".(
ELEC RANGES CLO DRYERS
ELECTRICIAN
WATER HEATERS 50
ADDRESS
ELEC SPACE HTRS DISHWASHERS
GARBAGE DISPOSERS AUTO CITY TEL NO
WASHERS STA COOKING UNITS 1 25 STATE
MOTORS OVER INC H P LICENSE NO
0 — 1/2 25 IS RIC NO IGROUP ZONE READY FOR INSPECTION
1/2 — 2 SO
INSPECTION RECORD
2 — 5 100
5 — 15 ISO
15 — 50 250
SO— 200 Boo
SIGNS NO TRANS v
NO LAMPS
SERVICE O 600V 100
SERVICE OVER 600V Soo
MISC
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WIRING PERMIT 1 00
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FIXTURE PERMIT too
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SUPPLEMENTARY PERMIT 50
TOTAL FEE $ '� (./ APPROVALS
1 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED^QND/OR i
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANDASTATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER THE OVE POWER
DESCRIBED ROR THTIA —M THE
SIGNATURE UTILITY CO NOTIFIED
OF PERM ITTEE—
FINAL
Mor, ARTHUREIT
CK I�
CK Moi BH SUPERVISING ELIECTRICAL EN61NBtiR
M4 1 6 0 co 'j AUG 22 2 A 2.0 0 19
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