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7GA663-CES06-11-111APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINHES BUILDING
BUILDING AND SAFETY DMSION ADDRESS
CMAJ!OHN A.LAMME,C* ly I-
Tr
D. GHIFFIIi,Snp t of » LOCALITY
NEAREST '
FOR APPLICANT TO FILL IN CROSS ST
PERNIIT FEES
ITEM NUMBER EACH FEE OWNER
OUTLET yy $ $ MAIL
LIGHTS RE
f_ SW IO ADDRESS tJ O
LIGHTING FIXTURES f0 U CITY T L NO
ELEC RANGES CLO DRYERS ELECTRICI
WATER HEATERS SO
ELEC SPACE HTR9 DISHWASHERS ADDRESS
GARBAGE DISPOSERS AUTO- '�I CITY TEL NO
^y,
WASH STA COOKING UNITS ,C••_, 2$ STATE /
LICENSE NO `
MOTORS OVER INC H P
— 1/z 25 o� IS RIC N R N READY FOR INSPECTION
O 3 � OCi
1/z — 2 50
z — s / too INSPECTttION RECORD
5 — 15 150 ( _ - 1--In 1
15 — 50 250
a
50— 200 500
SIGNS NO TRANS • i
NO LAMPS
SERVICE 0-600V 100 �+
SERVICE OVER 600V Boo
MISC
' WIRING PERMIT too
FIXTURE PERMIT 100 ^✓
SUPPLEMENTARY PERMIT 50
TOTAL FEE $ APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE'READ THIS APPL ATI N 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 AND/OR --
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEG OWN OF TH BOVE POWER
DESCRIBED RESIDENT PROPERTY
SIGNATURE UTILITY CO NOTIFIED
OF PERM17 FINAL l r
ATION ARTHUR C yEIT.
cK O CASH SUPERVISING ELECCRICAL ENGINEER
LACO-3 7 2 9 c° AUG 11 2 A 1 4.8 5 M 1