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76A663-CE606,3-62 bAPPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES , I i
DEPARTMENT OF COUNTY ENGINEER FADDRESS
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BUILDING AND SAFETY DIVISION 7 AV (�
JOHN A LAMBIE COUNTY ENGINEER �+ G
WILLIAM A JENSEN, SUP T OF BUILDING _ TY
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FOR APPLICANT TO FILL IN ST r1Sd�-
3 TOTAL NO EACH FEE s��
REC EPT FIRST 2O $20 $ OWNER
OUTLE S
LIGHT ADD'L ADDRESS
I MAIL 'Zie e ULA
SWITCH OVER 20 i 10
LIGHTING TOTAL FIRST 20 20 CITY m / // TEL NO / �7
FIXTURES } OVADD'L 20 10 ELECTRICIAN O
R
RANGES CLO DRYERS WTR HTRS loo ADDRESS
GARB DISP STA COOK CITY TEL NO
DISHWASH AUTO WASHSTATE
SPACE HTRS STA APP (+/a H P MAX I , 50 LICENSE NO
MOTORS OVER NOT OVER H P DISTRICT NO G P ZONE PROCESSED BY
O 1 1 00 ..7 • o A/ 152�-f- -77:5
1 3 150 INSPECTION
S3 RECORD
3 8 200 I 63
8 15 250
15 50 300
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so 100 500 O
V
NO TRANS
SIGNS NO LAMPS FQ
SERVICE 0 600V NOT OVER 200A 100
W
SERVICE O 600V OVER 200 A 200 a
to
SERVICE OVER 600V 500 ?
MISC
PERMIT ISSUING FEE 200 a P
SUPPLEMENTARY PERMIT ISSUING FEE 1\00
1 I
TOTAL FEE $ QQ
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR B SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY T � AM PROPERLY REGISTERED AND/OR
LICENSED AS REQ 1 Y'LOS ANGELES UNTY AND STATE OF FIXTURES 1tI
CALIFORNIA OR T AT I AM THE LEGAL O NER OF THE ABOVE v f
DESCRIBED RESIDE PROPERTY POWER
SIGNATURE UTILITY CO NOTIFIED �J .✓�
OF PERMITTE
FINAL
VALIDATI ARTHUIR C VEIT— v �`
CK MO' CASH SUPERVISING ELECTRICAL ENGINEER
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76A66C CE#'806 5 61 , ` I •
f APPLICATION FOR ELECTRICAL: PERMIT LLL...111
COUNTY OF LOS /ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING c
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN cRoss
ST
o ci
PERMIT FEES OWNER r "ff-
1 T E M NUMBERI EACH FEE MAIL- MI
OUTLETADDRESS
S S
LIGHTS RECEPT SW CITY TEL NO
LIGHTING FIXTURES 20,
ELEC RANGES CLO DRYERS ELECTRICIAN
WATER HEATERS 50 ADDRESS ,, 419Ct/!
ELEC SPACE HTRS DISHWASHERS
` CITY �?STEL NO
GARBAGE DISPOSERS AUTO- STATE
WASHERS STA COOKING UNITS 25 LICENSE NO �
MOTORS OVER INC HP DI$ CT Q OUP N CESSjED BY
0— 1/2 25
1/2— 2 / /f 1r • INSPECTION RECORD
2— s1 100 l Ct �� 0
s— 15 150 N \ I �^ 'fL/ll d� /�f QU / �C --- W
15— SO 2 SO �"1(JCd� W��
Im
50— 200
800 n, _ / ��'1t �
SIGNS NO TRANS
NO LAMPS N
,+ Z
SERVICE O 600V / too
SERVICE OVER 600V Soo
M ISC
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE s
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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING WIRING
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGEL COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AMi E LE 7OF THE ABOVE /
DESCRIBED RESIDENTIAL PR ER POWER s /
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE
FINAL / V
/�IDATION ARTHUR C VETT
( c Mo CASH SUPERVISING ELECTRICAL ENGINEER
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COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER E L E C T It I C 1
" µ DIVISION OF BUII.DING & SAFETY
WILLIAM 1. FOS. COUNTY ENGINEER
FORPPLI NT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
ELECTRICIAN /! -/ Co�yo/
ADDRES RECEIVED B READY FOR DATE 1 SUED
00, FIRST INSPECTION
or
CITY TEL NO
COUNTY LICENSE NO EXPIRE§g BUILDING
PERM FEES ADDRESS
FEE � u
NUMBER EACH LOCALITY
LIGHT OUTLETS ' NEAREST '
RECEPTACLES CROSSST
WALL SWITCHES OWNER
TOTAL OUTLETS SC $
MAIL
' ELEC RANGES 25 ADDRESS 01
ELEC HEATERS 25
FIXTURES 5 a aCITY TEL NO
MISC I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITSAND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
Naw Mvo HP OVER INC EACH OF THE RES[DENTI PROPERTY DESCRI ED ABOVE
I2 a LESS $ 25
- SIGNATURE OF
I/z' 250 PERMITT
z 5 oo
1
5 15 1 50 INSPECTION REdbRD
15 50 2 50
50 200 5 00
200 5010 to 0o J
Soo 10010 15 00 Z
OVER 1000 20 00
M G SET/FREQ CHANGER-HP
WELDERS AC-KVA 0
GENERATORS KW
TRANSFORMERS-KVA
TEMP MOTORS (75% OF ORIG )
MOVED MOTORS (75% OF ORM )
MISC
SIGNS
NO NO TRANS
NO NO LAMPS APPROVALS
FOR EACH PERMIT DATE INSPECTOR'S NAME
WIRING $1 00 �iq CONDUIT /S t
FIXTURES $1 00 ®N WIRING
SUPPLEMENTARY S0 FIXTURES
POWER
TOTAL FEE $ '� UTILITY CO NOTIFIED
FINAL Z! d -
76A 663 DB8# SA 4-5Y I ' '