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76A663-CE80610-61 APPLICATION FOR EL CTRICAL P MIT '
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY _
NEAREST °
FOR APPLICANT TO FILL IN CROSS ST.
I T E M NO. I EACH FEE
OUTLETS: (FIRST 20) $ $ OWNER
LIGHTS RECEPT SW. .2o AQ0 MAIL
OUTLETS: (ADD'L UNITS f0 /JO ADDRESS `.~
LIGHTS RECEPT. SW,49 a a
LIGHTING FIXTURES: (FIRST 20) 20 O CITY TEL. NO.
LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIA a
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
STA.COOK
CITY TEL.N
DISHWASH. A_UTO.-WA_Ste. STATE
SPACE HTRS. STA.APP.(%=H.P.MAX .50 Q LICENSE NO.
71of If 7.
MOTORS: OVER NOT OVER H.P. DISTRICT N�_ GR P ESSED BY
O 1 1.00
I 3 1.50 , INSPECTION RECORD
� .0 r
3 S 2.00 � �.°;' �"" p
S 15 2.50 /i" is U
15 50 3.00
50 100 5.00
d
SIGNS: NO.TRANS. hs.
NO.LAMPS - Z
SERVICE 0.600V•NoT OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
i
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 }
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS ATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING II
ELECTRICAL WIRING. WIRING V /
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES _
CALcl
IFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI ROPERTY. POWER _
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE FINAL
LIDATION ARTHUR C. VEIT
OCKMO CASH SUPERVISING ELECTRICAL ENGINEER
I
L!1 7 23 ? �. �j i r
.J v
76A663-CE806 9-64 PPLICkflo&
FOR ELECTRICAL PERMIT
ANGEL COUNTY OF L S AN L
DEPARTMENT OF COUNTY ENGINEER BUILDING / L
BUILDING AND SAFETY DIVISION ADDRESS {(k7' 32 C4
JOHN A. LAMBIE, COUNTY ENGINEER j y
COLEMAN W. JENKIN5, SUP'T. OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO, EACH FEE A
OUTLETS FIRST 20 $20 $ „[ OWNER /t �L.41A
LIGHT / V MAIL
ADD'L ADDRESS
.10
SWITCH. -,� OVER 20
LIGHTING 1 TOTAL' FIRST 201 .20 CITY TEMP TEL.NO. -
FIXTURES
OVVERIER 20 10 ELECTRICIAN
2 A,0 /
ny /1y,
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS /,0' /maex 10�V7 �/� 7 p
GARB.DISP. STA.COOK CITY Q I� TEL.NO. V—_7713
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(1/a H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT N
Gr ZO E I PR B
O 1 1.00 c
1 3 1.50 INSPECTION RECORD
3 a 2.00 O
a 15 2.50 u
15 50 3.00 D�
SO100 5.00
NO.TRANS- W
SIGNS:
NO.LAMPS O_
N
Z
SERVICE 0.60OV-NOT OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
II
PERMIT ISSUING FEE 2.00 0.0
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 8
i
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE IN PE OR'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 I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES C NTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OW OF, ND INTEND TO
RESIDE IN, THE ABO RIBED RES ID IA P ERTY. POWER �~
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE
FINAL
�
CKLIDATION JOSEPH C. ROOHAN
MO CASH SUPERVISING ELECTRICAL ENGINEER
998 0 FEB 24 2 D 2.60