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76A663 CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING Less / a
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER 7—
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
J,/
FOR APPLICANT TO FILL IN CROSS sT Woo:v2u.FF,
RECEPT TO' ALNO EACH FEE
OUTLETS FIRST 20 $20 $ OWNER I C 1 GO 141 L e
LIGHT MAIL /
SWITCH ADD L 1O ADDRESS (QOQ O Less Ra
OVER 201
LIGHTING TOTAL FIRST 20 20 CITY Z'P— Gr/ TEL NO OLO /-93f1
FIXTURES ADD L 10 ELECTRICIAN
111 OV R 20
RANGES CLO DRYERS WTR HTR9 too ADDRESS
GARB DISP STA COOK CITY TEL NO
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP (1/.H P MAX) S0 LICENSE NO
MOTORS OVER NOT OVER HP DISTR T NQ GROUP ZONE P ESSED BY
0 1 100 47Z,
1 3 1 so INSPECTION RECORD
3 8 200
8 15 250 i
15 50 300 }
a
50 100 500 O
V
NO TRANS
SIGNS NO LAMPS IO
-
SERVICE 0 600V NOT OVER 200A too G
W
SERVICE 0 600V OVER 200 A 200 d.
N
SERVICE OVER 600V Soo Z
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE $
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS 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 1 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 RESIDE TIAL PROPERTY �1 POWER
SIGNATURE UTILITY CO NOTIFIED ' -7
OF PERMITTEE
V ARTHUR C VETT
MO
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LACO3028DEC 2 2 D 300- e
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