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76AB63-CESOO-6-57 APPLICATION FOR ELECTRIC PERMITi
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 5025 Clovely
JOHN A LAMBIE,COUNTY ENGINEER
CASSATT D GRIFFIN,SUP T OF BUILDING LOCALITY Temple G 1,t
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES OWNERRay J. Bottorff
LIGHTS 1.0 RECEPTACLES SWITCHES
NUMBER I T E M EACH FEE MAIL .
ADDRESS 02 Cilov.el
TOTAL OUTLETS $ 10 �
ELEC RANGES WATER HEATERS, CITYTemn le /r Vit TEL NO
CLOTHES DRYERS SO ELECTRICIA O• S if• eC ric Ser
ELEC SPACE HEATERS STAT Y COOK �f} /�
ING UNITS GARBAGE DISPOSERS, ADDRESS 08 E. Artesia &vd.
AUTO WASHERS DISHWASHER 25
LIGHTING FIXTURES f0 CITlower, TEL NO
Me-351
STATE
'MOTORS LICENSE NO 118787
i HORSEPOWER
H P OVER INC DISTRICT NO I GROUP I
�]ON READY FOR INSPECTION ,
+/z&LESH 25 c/ -]t- / '
1/2 2 50 INSPECTION RECORD
2 — S too
S — 15 150
15 — So 250
so — 200 5 00
MISC
SIGNS NO TRANS
NO LAMPS
SERVICE O-600V too
SERVICE OVER 600V Soo
WIRING PERMIT too l'a 00
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT SO
TOTAL FEE ICOMPLY
APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGRECONDUITWITH ALL COUNTY ORDINANCES AND STATE LAWSGELECTRICAL WIRING WIRING / -7
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTR FIXTURES
LICENSED AS REQUIRED B,1Y/�JP��S G C�UN AFCALIFORNIA OR THAT 1�.+� H0 OE POWER
DESCRIBED RESIDENTIAL P E
SIGNATURE UTILITY CO NOTIFIED / y
OF PERMITTE
FINAL
JOHN A LAMBIE DATION ARTHUR C VEIT
COUNTY ENGINEER / cK Mo CASH SUPERVISING ELECTRICAL ENGINEER
0°'1_6„3 v JAN x 7 2 A 7.3-0° A