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76AGGB_CESOO-6-57 APPLICATION FOR ELESJEIp,,Pob �L, 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ' BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PEMT FEES
OWNER
l: LIGHTS RECEPTACLES SWITCHES S.
NUMBER
ITEM EACH FEE MAIL
$
nn nn ADDRESS
d� TOTAL OUTLETS .10 $ oL O
ELEC. RANGES, WATER HEATERS, CITY TEL.N
CLOTHES DRYERS .50 ELECTRICIAN
ELEC. SPACE HEATERS,STAT-Y. 000K-
ING UNITS, GARBAGE DISPOSERS, ADDRE8
AUTO WASHERS, DISHWASHER .25
LIGHTING FIXTURES .10 D Cln TEL.NO.
STATE /� /
MOTORS LICENSE NO. �' 9'01
HORSEPOWER ISTRICT
H.P: OVER INC, NO. GRO ZQN READY FOR INSPECTION
p/L(�
44 a LESS .25
+ — 2
2 — s 1.00 t;INSPECTION RECORD
2
5 is I.50 ,01 >.-. ,ew -••r/
15 — 80 2.80
50 200 5.00
r i Vt�
!tom S /cervi
s
SIGNS I NO.TRANS f/ , -
NO.LAMPS
SERVICE O-60OV 1.00
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00 O p '�/ k�
FIXTURE PERMIT 1.0000-1
PERMIT .50 � APPROVALS
TOTAL FEE g
1 HEREBY ACKROWLEDGE THAT I HAVE READ THIS APPLIC TION ' 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 ,
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR J
LICENSED AS REQUIRED BY OS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR TH 1 A THE LEGAL OWNER OF THE ABOVE •. pOWER
DESCRIBED RESIDE IA P ERTY. -
SIGNATURE UTILITY CO.NOTIFIED oI`r-y�_- d/% .� 4•ty L'A/
OF FERMIweTTE %- . kl;�te I, •fG.r/y%+I
IATION
OHN A.LAMBIE. ARTHUR C.VEIT.
rOUNTY ENGINE CK MO IOCASSUPERVISING ELECTRICAL ENGINEER