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76A663.CE806 6.62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS p t
JOHN A. LAMBIE, COUNTY ENGINEER y
WILLIAM A. JENSEN, SUPT OF BUILDING LOCAL'TY
°T/
NEAREST (�f
1FOR APPLICANT TO FILL IN cRoss Si. D L 1�LN t4lC 7
RECEPT. ^I TOTAL NO. I EACH FEE
llll{ OUTLETS FIRST 20�$20 $ OWNER civ L U ES,S E
LIGHT MAIL
ADD'L ADDRESS
SWITCH. 5 OVER 20 10
TOTAL CITY TEL. NO.
LIGHTING FIRST 201 .20 QU
FIXTURES l 1O ELECTRICIAN . C JCC
ov R 20
RANGES CLO.DRYERS WTR.HTR.. 1.00 ADDRESS % /T4,1 1/!-
GARB.D19P. STA.COOK C
CITY (/ qTLG TEL. NO. .2�7 .Z
D19HWA.H. AUTO.-WASH. STATE
SPACE HTR9. STA.APP.I%H.P.MAX.) .50
LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP Z PROCE BY
O 1 1.00 Q moi— I
I 3 1.50 IN//S&E//CTIONOkORD
3 B 2.00 G f� a,U/ "✓' ,r�'i7::i •p�Il
6 15 2.501
15 50 9.00
6
50 100 5.00 O
U
SIGNS: NO.TRANS
NO.LAMPS K
f
SERVICE O.600V-NOT OVER 200A 1.00 ICJ
SERVICE 0.60OV-OVER 200 A. 2.00 D.
N
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.001
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCE. AND .TATE LAWS REGULATING '
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REG.... 1OR
LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT M THE LEGAL OWNER OF THE ABOVE • to I
DESCRIBED RE..DIZNTI OPE Y. / POWER
SIGNATURE An iA a UTILITY CO.NOTIFIED
OF PERMITTEE INAL
ALIDATION ARTHUR C.IVEIT
CK MO ASN SUPERVISING ELECTRICAL ENGINEER
LACO,9; 6. 5 7Z JUN 3 2 D 6.60"
�,.,:�!
76A553.GE80E 9-64 APPLICATION FOR ELECTRICAL u ERMIT u
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER eU1LDi NG ,y (I
BUILDING AND SAFETY DIVISION ADDRESS _,(1
JOHN A. LAMBIE, COUNTY ENGINEER 1�.
COLEMAN W. JENKINS. SUP'T. OF BUILDING LOCALITY r� A�InLµ �]
NEAREST l� 0
FOR APPLICANT TO FILL IN CROSS ST.
REC EP T. TOTAL NO. I EACH I FEE
OUTLETS FIRST 20 S 20 S OWNER
LIGHT L. 1 ' MAIL
ADD' f0L ADDRESS
OVER 20 r
TOTAL lxl
CITY C EL. NO.
LIGHTING + FIRST 201 ,20 (�
FIXTURES — ADD'L 1O ELECTRICIAN
OV[R 2O
RANGES CLO.DRYERS WTR,XTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL. NO.
OISHWASX, AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(I H.P.MAX.) ,50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE P/ROCFSSSEDtn8Y.,
o
I — 3 1.50 INSPECTION RECORD
3 e 12001O
6 — 1s 1 2.50 V
15 50 I 3.00 K
50 100 5.001 O
NO.TRANS- a
SIGNS: NO.LAMPS IA
SERVICE O-600V-NOT OVER 200A 1.00 Z
SERVICE 0-600V.OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.001 -21
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
i
I 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
ELECTRICAL WIRING. WIRING
HEREBY .CERTIFY THAT 1 < PROPERLY REGISTERED PND/OR
LICM
ENSED AS REQUIRED BY LOSANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AMC TEND TO POWER
RESIDE , THE ABOVE DESCR IS
ED RESIDE/yNTTIpIAL PROPERTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL 1
VALIDATION JOSEPK C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
Lite 9 G 7 7 Q RAR 3 2 D 4.6O-