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78A663-CEBOE 10/74 APPLICATION FOR ELECTRIC�(L PERMIf
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 7SAREST
BUILDING AND SAFETY-DIVISIONRea
#3239 le Ci Rd.
FOR APPLICANT TO FILL IN
OUTLETS NO. EACH FEE OWNER OR
RECEPT.96 $ $ FIRM NAME LT. B. Weber Devel t CO.
MAIL 5926 Teeple City Blvd.
LIGHT 60 TOTAL FIRST 20 25 ADDRESS
SWITCH88 244 OVER 20 224 f0 22 4U CITY le Ci TEL. NO. 286-2818
PLAN CHECK
LIGHTING TOTAL
FIRST 20 20 .25 5100 APPLICANT
FIXTURES 60 OVER 20 40 .10 4 00 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER 4 WTR. HTR. APPLICANT 11011 McGee Electric Inc.
STA. COOK DISP. 4 F.A.U. ADDRESS P.G. BOX 2186
SPACE HTR. AIR COND. CITY Parona TEL. NO. 628-1221
CLOTHES WASH. 4 DISHWASH. 4 RILICENSE
E NNUMBER CLASS. C
FAN 4 OTHER 20 1.00 20 00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW.KVA. ELECTRICAL WIRING.
51ZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ?.
CALIFORNIA OR THAI' I AM THE LEGAL 0 NER OF THE ABOVE C
CIS 1 — 10 4 3.00 ill! 00 DESCRIBED RESIDENT. PROPERTY. V
10 - 50 5.00 PERMITEE w
SIGNATURE F
50 - 100 10A0 LLJ
DISTRICT N0. PROC SED BY o.
y
100 - 500 15.00 O Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 4 3.00 11 00 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT42
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING fJ -011.1 cr 100F
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED ^
FINAL `7
PERMIT FEE (SUB TOTAL) an NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 1 00
TOTAL FEE 83.40
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
4 5 p.-In-JUL 15 2 0 8 3.4 0 AW
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE `�