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76AG63_CE806_6_57 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
LBUELDING
ENT OF COUNTY ENGINEER BUILDING
AND SAFETY DNISION ADDRESS O GLAMBIE.COUNTY ENGINEER
D GRIFFIN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN cRoss sT
PERMIT FEES OWNER RU JEoE
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LIGHTS RECEPTACLES SWITCHES FE MAIL �� C
NUMBER ITEM EACH FEE ADDRESS TOTAL OUTLETS 10 OELEC RANGES WATER HEATERS, cITYTem le CitCLOTHES DRYERS 50ELEC SPACE HEATERSSTAT Y COOK ELECTRICQIA�N ►`�INGUNITS GARBAGE DISPOSERS, ADDRESS 8608 E
LIGHTINGUT HFRXTURESWASHER 20
1.10 1 00 CITY TEL NO Me-3511
11
MOTORS STATE LICENSE
LICENSE NO 8
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HP OVER INC DISTRICT NO IG�P O _READY FOR INSPECTION
yz @ LESS 25
z — 2 So INSPECTION RECORD
2 — 5 too
5 — 15 I so
15 — 50 250
50 — 200 Boo
MISC
SIGNSI NO TRANS
NO`LAMPS
SERVICE O-600V too 1 O
SERVICE OVER 600V 500
WIRING PERMIT too
FIXTURE PERMIT too
SUPPLEMENTARY PERMIT 50
TOTAL FEE O APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTORS SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
100
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 LPL
LEA C LLNTY AND STATE OF
CALIFORNIA OR THAT M h ICER OF THE ABOVE POWERS
DESCRIBED RESIDENTIA II ER
SIGNATURE �, – UTILITY CO NOTIFIED
OF PERMITTE FINAL
JOHN A LAMBIE. // DATION ARTHUFf C VETT,
COUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER
CIC MO CASH {
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