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76A663-CE606 3-64 APPLICATION FOR lid ICAL lPERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING r-0 O _
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER L -
WILLIAM A. JENSEN, SUPLDING T OF BUILOCALITY
NEAREST
1FOR APPLICANT TO FILL IN caoss ST.
FFIXTURES
T. TOTAL NO. EACH FEE `e ' C r
OUTLETS FIRST 20 $.20 S OWNER V S /
LIGHT MAIL
ADD'L ADDRESS Q lv) = L
H. OVER 20 .10 _ L_ `7
1 TOTAL CITY L L(. EL. NO.87
G / L
TING I F1RSi 20 .20 _
ADD'L Ip ELECTRICIAN COOK
OV R 20
EB CLO.DR WTR.HTRS. 1.00 /�� ADDRESS 6t6NN /V
ISP. L' �t
CITU LT L.NO.I..-
nn I6
DISH WASH. AUTO.-WASH. STATE �] /(
SPACE HTRS. STA.APP.(Ya H.P.MAX.) ,50 LICENSE NO. ;z LT
MOTORS: OVER NOT OVER M.P. DISTRICT0 GROUP ZQNE PR4ESSED BY
O 1 1.00
S 1 I-- Z,5
J
1 3 1.50 INSPECTION RECORD
3 8 12.00 0
6 15 2.50 DE
O
18 80 3.00
50 100 5.00 d
N
SIGNS: NO.TRANS, Z_
NO.LAMPS
SERVICE 0.60OV-NOT OVER 200A 1.00
SERVICE 0.600V-OVER 200 A. 2.00
SERVICE OVER BOOV 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
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
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR T ! J Y
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER TME OVE
DESCRIBED RESIDENT PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERM ITTE
FINAL b'2
VALIDAT� ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L!JC0 8 2 5 1 FEB 4 2 D 3.0 0
��t/
76AG63-CES063-64 APPLICATION FOR ELECTRICALIPERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS OO JOHN A. LAMBIE. COUNTY ENGINEER L` n
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY l..
NEAREST /
FOR APPLICANT TO FILL IN CROSS 6T. L_,
RECEPT. TOTAL NO, EACH FEE
OUTLETS (FIRST 20 S20S OWNER _
LIGHT F MAIL
ADD'L 10 ADDRESS 'Q
SWITCH. 1 OVER 20 LI AT L
LIGHTING I TOTAL FIRST 20 .20 CITY = - 1,HL. O.
FIXTURES I ADD'L 10 ELECTRICIAN
OVER 20
RANGES CLO.DRYERS WTR.NTRR. 1.00 ADDRESS /� ^((�_ OA- N N
GARB.OISP. STA.COOK CITY (L LL EL O. I 4
J^
OISHWASH. AUTO.-WASH. STATE
SPACE HTRS. BTA.APP.('/A H.P.MAX.) ,SO LICENSE NO. /
MOTORS. OVER NOT OVER M.P. tDTRICT% f�1O.- G OUP ZONE PROCESSED ABY/
O 1 1.00 / `6 oU-'J. �(.-aE�°'( _
1 3 1.50 INSPECTION RECORD 1 a
3 — 6 2.00
3 15 2.60
1'-• -' dl.�i'!`4 ^.tr:'Y� afL I .L.' '�
15 So 3.00 v . /� yr „ >✓✓ V
So too 5.00 `A' / G' a
N
SIGNS, NO.TRANS. Z
NO.LAMPS
SERVICE O.600V-NoT OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 ()
SUPPLEMENTARY PERMIT ISSUING FEE 11.00
TOTAL FEE On
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIONL
DATE INSPEROR'S SIGNATURE
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. ss•�Y'.�.n� �'-r�f;ti
I
HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR --
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFCALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL Pq OPE Y. i491GNATURE �G7 Y�%���y��✓V
OF PERMITTEE FINAL w✓ .*10q
CKC�IDATION ARTHUR C. VEIT"
MO CASH SUPERVISING ELECTRICAL ENGINEER
l rl�o 7 9 4 0 JAN 27 --,.2 D 3.0 0
]6A663-CE8061/]0 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
_ DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING C
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. \_
OUTLETS N0. EACHI
OWNER
RECEPT._1 $ 5 MAIL
LIGHT_ TOTAL
/1(1} FIRST 20 20 ADDRESS
CITY TEL. N0.
SWITCH_ OVER 20 10 2�PLAN CHECK
FIRST 2020
FIXTURES .10 APPLICANT
LIGHTING TOTAL
OVER 20 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT /I ) n
RANGE—DRYER WTR. HTR._ APPLICANT d, W� olM L r�R/C
STA. COOK DISP. F.A.U._ ADDRESS SL Lj 1'J
SPACE HTR. AIF CONO. CITY c1 TEL. N0.
CLOTHES WASH. DISHWASH._ LICENSE N0, CLASS. e-lo
FAN_OTHER I.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WIT ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
S12E 6 TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 3.00 RESIDE IN, THE ABOVE OES RIPED RESIDENTIAL P OPERTY. r
SIGNATURE
10 - 50 5.00OF PERMITTEE I 0
50 - 100 1000 GC
DISTRICT NO. ICLAXSl IGROUP ONE C SED BY O
100 - S00 15.00 S,j'7 L Zi7 F
VW
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: .�L %
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOT OVER 600 VOLTS OR 200 AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR 200AMP 5.00
TEMP.POWER POLE
TEMPSERVICE, POLE, &APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
,fr11 ROUGH CON OI UT
V WIRING
FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (50� PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00 2�' U
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE (00
JOSEPH C. ROOITIAN
TOTAL FEE +�, �[� SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION cK. M.O. CASH
E °Ir a 7 z 5'- EE616 2 0 3,00
f/<i�rrL c i r y
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE