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TEMPLE CET
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILOINa/^'� .l
BUILDING AND SAFETY DIVISION ADDRESS (�
JOHN A.LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN. SUPT OF BUILOINO LOCALITY
FORAPPLICANTTOFILLIN NEAREST -42
CROSS ST
PERMIT FEES OWNER
ITEM NUMBER EACH FEE MAILT
OUTLET / $ .IO S ADDRESS
LIGHTS'. RECEPT. BW.
LIGHTIN FIXTURESI ID n CITY _ TEL.NO F 1
ELEC. RANGES CLO. DRYERS ELECTRI
EATERS .50 ADDRESS
LEC.SPACE HTRS. ISHWASHERS CITY TEL N
GARBAGE DISPOSERS AUTO-' /0 STATE
WASHERS BTA. COOKING UNITS LICENSE NO.
G
MOTORS: OVER INC. H.P. DISTRICT N, . GROUP N P OCE E BY
O %z 1 ,23
Y° 2 50 INSPECTION RECORD
2 5 1.00 O� -fGf v lLN O. 9t/n d
5 15 1.50 Al,• A/ora
15 — 50 2.50
>�1aIx
_R
k
SO 200 5.00 �/�
SIGNS: NO TRANS. O.
NO. LAMPS 21r ✓/-r�.i -w� /.+ t �6-/C• C/ _ _Z
SERVICE 0-6OOV 1.00 O Q
SERVICE OVER SOOV 5.00
MISC. ��qq
WIRING PERMIT 1.00 J
FIXTURE PERMIT 1.00 0 B
SUPPLEMENTARY PERMIT .50 n
TOTAL FEE S l'
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT /I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /I
ELECTRICAL WIRING. WIRING fA .(y_ ,4401 2,
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF n r /
,CALIFORNIA OR THAT 1 AM THE LEGAL OW NE OF THE
DESCRIBED RESIDENTIAL ROPERTY. POWERIu1 n
SIGNATURE UTILITY CO. NOTIFIED I A i 1 I 1 n Vi IMI A
OF PERMITTERFINA "\U "0\ VIkI\dM
Ae-p DATION ARTHUR V
SUPERVISINGBELE*TR
ICAL ENGINEER
CK MO CABX
o L/ArG 3 2 8 5 SLP ? g 2 6 8 .2 0