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APPLICATION FAR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 9 1 Broadway
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER !�
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING, LOCALITY Temple Vit
NEAREST /J
FOR APPLICANT TO FILL IN CROSS ST. ( (� F/
RECEPT. 1 TOTAL NO. (EACH FEE
LIGHT Jy OUTLETS , FIRST 20 `L 5.20 $ 4Q OWNER .Schulz
SWITCH 2 ADD'L 1 10 ADDRESS Same
OVER 20
1 TOTAL FIRST 201 1 .20 20 CITY Temple City TEL, NO. 286-6549
LIGHTING l FIXTURES
FIXTURES I ADD'L 1O CONTRACTOR COBINE ELECTRIC CO., IPTC
OVER 201 /��, yy
RANGES DRYERS WTR.HTRS. 1.00 ADDRESS 160 Chesftut Street
GARB.DISP. BTA.COOK Alhambra 282-0315 '
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. BTA. APPL. T .50 LICENSE No. 229847 C-10
MOTORS: OVER NOTOVER H.P. d5.00
DISTMCT N GR UP Z E PROCESSED BY
g o f 1 2 too _ -51-6)
I 3 INSPECTION R CORD
3 9 V
K
8 Is rOr
15 50 V
W
d
50 100 y
Z
SIGNS: NO.TRANS.
NO.UMPS
SERVICE 0.60OV.NoT OVER 200A 1001-
SERVICE
SERV ICE 0.60OV-OVER 200 A.
SERVICE OVER 600V OTHER.(SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FFIXTURFS
PROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE $ 6
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONLAB WORK
AN
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYCONDUIT
WITH.ALL COUNTY ORDINANCES.AND STATE LAWS REGULATING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFCALIFORNIA OR THAT HELOROF. AND INTEND TORESIDEIN.THE IB E51 TIAL PROPERTY.
6IGNATURE CO.NOTIFIED r
OF PERMITTE
FINAL
IDATION J EPH C. ROO AN
CK MO CASH PERVISING ELECTRICAL ENGINEER,
x.,9.9-4 0 .-AUG 3 2 D 4.60"
lGAG63:OEBOS .10.6= APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES -
DEPARTMENT OF COUNTY ENGINEER BUILDING
. . BUILDING AND SAFETY DIVISION ADDRESS cJ
-JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUP'i'OF BUILDING I LOCALITY
NEAREST
F
OR APPLICANT TO FILL IN CROsIS ST.
. 1 TOTAL NO. EACH FEE 1
III(1 OUTLETS FIRST20 ffi2O S OWNER` MAIL. ' ADDRESS
LO 1DTOTAL CITY TEL. NO.
ING FIRsr 20 .20RES ADD'L
OVER 20 .10 ELECTRICIAN OES CLO.ORYERS WTR.HTRS. 1.00 ADDRESSS'. STA.COOK NOH. AUTO.-WASH. STATERS. STA.APP':(yy H.P.MAX.) 50 LICENSE NO.: OVER NOT OVER H.P. DISTRICT NO. GROUP Z NEPROCESSED BY
0 t.00� . . 3 L50 INSPECTION RECORD
_ J I I\
3 e 2.00 `/� �.® {::fY�. ��./I�A�Oa�a, A{.G�y/,f�{7�f/7 a
8 15 2.50 FX-.. I>w _.!-H'/ (TE`V/ '7JN (1"[A•/'lU� y .0
f5 50 3.00 7 / & /• y� fy.I
50 foo 5.00 ••7Y'" d (/f/�ta!� ar�v r �l
SIGNS: NO.TRANS. 'I
o .
NO.LAMPS y
SERVICE 0-600V.NOT OVER 200A 1.00 �G L
SERVICE O-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
1
PERMIT ISSUING FEE - 2.00 Q
SUPPLEMENTARY PERMIT ISSUING.FEE 1.00 '
- TOTAL FEE $
I 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. I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING ✓H/ .
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS RE"UIRED BY S GELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I M THE L AL WNER OF THE ABOVE
DESCRIBED RESIDENTIA PR E POWER
SIGNATURE UTILITY CO.NOTIFIED 116
OF PERMITTEE
FINAL V
'IIDATION ARTHUR C. VEIT
CK /IMO CASH SUPERVISING ELECTRICAL ENGINEER
15:241 JUL18 2 A 450 v
'6A63"' APPLICATION FOR ELECTRIC PERMIT �.
OB55A 3.5a
DIVISION OF BUILDING AND SAFETY
Department of County Engineer V
County of Los Angeles BUILDING l 620A� ��I�
WM.J. FOX, COUNTY ENGINEER ADDRESS �{' l
' CASSATT D.GRIFFIN. SUPT OF BUILDING
_LOCALITY LL C
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS SL O V S P-6:
NUMBER EACH FEE
LIGHT OUTLETS OWNER I��i'2 -r'o C_.4
RECEPTACLES 3Q MAIL
p ADDRESS
WALLSWITCHES /
TOTAL OUTLETS 3Q S
CITY TEL. NO.
ELEC_ RANGES 25 �'`� ELECTRICIAN. g/�L—� (_ —
_ELEC. HEATERS Z. 25 SSD_ ADDRESS I G' P I L V=
'KW EA CITY �r� r R — TEL.NO. —'SO
FIXTURES L 5 LICENSE NO. V - G
NUMBER OF LIGHT CIRCUITS DISTRICT NO. IGROUPI , J ,READY Foa INSPECTI..
NUMBER OF RECEPTACLE CIRCUITS i 'J
MOTORS
NUMBER HORSEPOWER I FEE g z� INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
Vz a LEss 5 .25 _ E2 K m frt�P N otC�+P__G
1/2z .50
z s oo `rJ r �.i C.,P.� oao Cowlk
s 1s 1.so C� r P I D � r. ISL.vcrr CTL�r 1.&t—
Is <<„r-Lr
50' zoo - s.00 ,C , I� `� • ,� r �. P,
MISC. r+
� {
NO.SIGNS NO.TRANS. //JJ
NO.SIGNS NO.LAMPS Z ZZ ,+ Cwll. . ✓C/ d•..
FOR EACH PERMIT' -
WIRING 51.00
FIXTURES / SLOO. _ OD
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE LG TS DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE'THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ILS ISS A
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
-
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I 'AM THE LEGAL OWNER OF THE ABOVE POWER •�
DESCRIBED RESIDENTIA OPE Y.
SIGNATURE UTILITY CO. NOTIFIED _ 1l 5-5c-- 1I .—
OF PERMITTEE FINAL S6
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION A. C.VEIT. CHIEF ELECT. INSPECTOR
..ACD 8 4 0 71In
KP 2 7 2 6.75 to
DBS.5A, APPLICATION FOR ELECTRIC PERMIT
DIVISION OF BUILDING AND SAFETY
Deportment of County Engines' T� R
County of Lon Angeles nooaess 5�( / 6 ROA OWA��
WM.J. FOX. COUNTY ENGINEER
CASSATT U. GRIFFIN..SUPT OF BUILDING
31 LOCALITY (1;=_h'( PLt= Cl 1�C_
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS sr. C
NUMBER EACH FEE ff�'�
LIGHT OUTLETS OWNER {�.CTd LO
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES
TOTALOUTLETS 5¢ S CITY TEL. NO.
ELEC.RANGES '25 ELECTRICIAN
_ELEC. HEATERS 25 ADDREt-_40
SSI3 /SAO. 1 -[
KW EA CITY L- I,/h&J-r. I�A K lam' TEL N004
FIXTURES 5 - LICENSE NO.
161
N U M B ER OF LIGHT CI RCU ITS - DISTRICT NO. GROUP ZONE I RELDY.FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS �d
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW. 'MVD. HP OVER INC. I EAC. -
_ '!/2&LESS S .25 '
1/] 2 .50
_ '2 .5 . 1.00
5 15 1.50 -
15 50 2.50
S0 200 5.00
MISC.
NO.SIGNS NO.TRANS._ -
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING SLOT
FIXTURES SI-00
SUPPLEMENTARY- .50 APPROVALS
TOTAL FEE.. , S. / ✓ DATE INSPECTOR'S SIGNATURE'
1 HEREBY ACKNOWLEDGE.THAT, 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE 15 CORRECT AND-AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE -•LAWS, REGULATING WIRING 10 111 ,% 5 �)
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED By'LOS ANGELES COUNTY AND STATE OF
CALIFORNIA RABI
A THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESI DEN A PR ERTY. UTILITY CO. NOTIFIED I _
SIGNATUREnn••..
OF PERMITTEE- FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION -A. C. VEIT.CHIEF ELECT. INSPECTOR
COS s i c OCT 11 2 ' 1 .5 0 m