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I6A663-GES06 10-62 APPLICATION.. FOR ELECTRICAL PERMIL,7--��
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Q,it%S°
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. 1
RECEPT. TOTAL NO. EACH FEE OWNER u ,
\ ^�
i OUTLETS FIRST 20 $.2O $ 0
LIGHT MAIL �1
AD'
'L ADDRESS
SWITCH. OVER 20 .10
TOTAL CITY - TEL. NO. _ 1
LIGHTING l FIRST 20 .20
FIXTURES ADD'L y 10 ELECTRICIAN S J
11 OVER 20 I
r
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS i—: .
GARB.DISP. ' STA.COOK CITY z TEL.
DISHWASH. AUTO.-WASH. //�� STATE /�
SPACE HTRS. STA.APP.('/.H.P.MAX.) 4. .50 LICENSE NO. 1 cl
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP Z NER ESSE BY
0 1 1.00
1 3 1.50 INSPECTION RECORD
3 8 2.00
8 15 2.50 0
15 50 3.00 cd
50 100 5.00 0
SIGNS: NO.TRANS. 6666333SIIII
d
NO.LAMPS t/gg)
4
SERVICE 0.600V-Nor OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 QQ
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ Ci
1 HEREBY 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 I 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 RESIDENTIAL P PERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
IIIIIIIII FINAL
Gc)LIDATION ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
MO CASH
U ,o 10 ,16%— JUL 7 2 D 1 8.9 O N