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76A663-J. 8-62 APPLICATION FOR ELECTRICAL OERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING f
BUILDING AND SAFETY DIVISION ADDRESS yC'J L� (J a. 6 //l ML
r JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY J 2.rs /.L,
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
f NO. EACH FEE
RECEPT. 't,.! TOTAL f�
LIGHT OUTLETS FIRST 2O OWNER$20 $ ®(,) -m l.e,Ji•
�A MAIL
ADD'L ADDRESS
SWITCH. 6-•13 , OVER 20 3 .10 / 7
LIGHTING TOTAL FIRST 20 .20 CITY TEL. NO.
FIXTURES4 9' DR20 t,l c-� 10 Q• ELECTRICIAN , Z` �� PG
OV •/��G
RANGES CLO.DRYERS ji WTR.HTR.. 6 1.00 Grp ADDRESS 0,57C /rG v'
GARB.DISP.6' STA.COOK jj `
� CITY _ f d d!I* TEL. NO. f(}�7-2 Ejf
BIStsov=o--- AUTO.-WASH. STATE
PACE HTRS TA.APP.(1/p H.P.MAK. .50 Q LICENSE NO.
ONOT H.P. DISTRICT O. GR UP NE PR CE D Y
0 1 1.00 ' w e>
1 3 1.50 INSPECTION RECORD
3 8 2.00 c
8 15 2.50
15 50 3.00 -�
50 100 5.00 r 0
SIGNS: NO.TRANS .� cz
O
NO.LAMPS
SERVICE 0.60OV-NOT OVER 200A 1.00 A § W
SERVICE 0.60OV-OVER 200 A. 2.00 tory
SERVICE OVER 600V 5.00
MISC.
or
PERMIT ISSUING FEE 2.00
SUPPLEMENTAIRY PERMIT ISSUING FEE 1.00
TOTAL FEE $ Q
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS PATE INSPECTbR'S SIGNATURE.
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYC6Nfft11T- "
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING 4 ;
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND�OR f
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ,✓T� o�.
CALIFORNIA OR THAT I THE LEGAL OWNER F THE ABOVE
DESCRIBED RESIDENTI PR PE POWER
f
SIGNATURE ;± UTILITY CO.NOTIFIED '
OF PERMITTEE MMMiNEENNEEME FINAL p 0 _ +
C_,0DATION ARTHUR C. VEITMO CASHSUPERVISING ELECTRICAL ENGINEER
Ll
76A663-CE806 9-64 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING / �y
BUILDING AND SAFETY DIVISION ADDRESS Ned l 7
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY P/Y>ra ( /f
NEAREST J/1
FOR APPLICANT TO FILL IN CROSS ST. V�
RECEPT. TOTAL NO. EACH FEE ���� ))
OUTLETS FIRST 20 $20 $ OWNER (�V�i�• •`
LIGHT � MAIL //��
ADD'L 10
LIGHTING � IF1RST 20 .20
ADDRESS Q IL) /Oi'it I✓
SWITCH. OVER 20 p _o
TOTAL CITY 011V�'
LrL TEL. NO. 3sa •.z93Z
FIXTURES _ I ADD'L 10 ELE
OVFR 20 CTRICIAN �' LwOf7`
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS ,QY•
GARB.DISP. STA.COOK
CITY_ /�(� TEL. NO. ��
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(%y H.P.MAX.) .50 LICENSE NO,
MOTORS: OVER NOT OVER H.P. DISTRICT M. I P LTNE
[ P SSS E 'B�Y
O 1 1.00 J
1 3 1.50 INSPECTION RECORD
3 8 2.00 (,} r F O
8 15 2.50
15 50 3.00 09
50 100 5.00 Q
V
SIGNS: NO.TRANS d
NO.LAMPS h
Z
SERVICE 0.600V-NOT OVER 200A 1.00
SERVICE 0.60OV•OVER 200 A.Azo 2.00
SERVICE OVER 600V 5.00
MISC.
6
PERMIT ISSUING FEE 2.00
SUPPLEMENTAIRY PERMIT ISSUINGFEE 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
I HEREBY -CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY OS ANGELES COUNTY AN STATE OF
CALIFORNIA OR THAT I AM HE LEGAL OWNER OF, D INTEND TO
RESIDE IN, THE ABOVE DE RISED RESIDE IAL PRO ERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE - --
FINAL
VA IDATION JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
C MO CASH
1 60 3 0 0 1:n JUN 23 2 D 3.40-