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76 A66C CE.#806 5 61
APPLICATION FOR ELECTRICAL PE T LLLJJJ
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER 7ADDRESS
BUILDING AND SAFETY DIVISION JOHN A LAMBIE. COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING FOR APPLICANT TO FILL IN PERMIT FEES i T E M NUMBER EACH FEE OUTLETSss LIGHTS RECEPT SW 1O v TEL NO
LIGHTING FIXTURES 10 /
ELEC RANGES CLO DRYERS ELECTRICIAN
WATER HEATERS 50 ADDRESS
ELEC SPACE HTRS DISHWASHERS
CITY TEL NO ez
GARBAGE DISPOSERS AUTO- STATE /
WASHERS STA COOKING UNITS 25 LICENSE NO y
MOTORS OVER INC H P DISTRICT NO GRO P ZONE R E ED
— 1/2 25
1/2— 2 so INSP CTION RECORD
2' 5 100 f` �� I-O In B,V– / ,, 4�r �� 0
5— 15 150 !j<t 5s /''i y�� I ���Y��r_j V
15— 50 250 j V f /� �'�� /i� -r•.T..� /O,
1-�
50— 200 500 U
SIGNS NO TRANS
NO LAMPS
SERVICE O 600V 100
rt 7 I� ?� •f'°'t �i.�'
SERVICE OVER 600V 500 t 6
MISC
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE S
1 HEREBY ACKNOWLEDGE THAT 1 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 / �- yb S/ /.� �•�'�'7t�
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR y /,��
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES i
CALIFORNIA OR THAT 1 A i THE LEGAL OWNE OF THE ABOVE
DESCRIBED RESIDEN /,/�j PERTY POWER ,.� i
SIGNATURE (� - UTILITY CO NOTIFIED pub �✓
OF PERMITTEE FINAL p�� /V a- • �,/J�.
AR HUR C VETT r
/
SUPERVISING ELECTRICAL ENGINEER
CK DATION MO CASH
I
Uf,0 5 4 0 3 NOV 2 4 2 D 6.4 0 0
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76A66C CE#806 5 61 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING e
BUILDING AND SAFETY DIVISION ADDRESS r
JOHN A LAMBIE, COUNTY ENGINEER 6
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
S FOR APPLICANT TO FILL IN cRoss sr
PERMIT FEES OWNER 06,
1 T E M NUMBER EACH I FEE MAIL
OUTLETS $ $ ADDRESS
LIGHTS RECEPT SW 1O CITY TEL NO
LIGHTING FIXTURES 10 -
ELEC RANGES CLO DRYERS ELECTRICIAN
WATER HEATERS $O ADDRESS
ELEC SPACE HTRS DISHWASHERS
CITY TEL NO Com=+
CARNAGE DISPOSERS AUTO-
WASHERS
UTO-
STATE
WASHERS STA COOKING UNITS 28 LICENSE NO
Morons OVER INC H P DIS ICT O GFOUP Z E PR
O— 1/2 25 �iO SED BY
1/2— 2 50 INSPECTION RECORD
2— 5 100 d
O
150 V
m
15— 50 250 O
50— 200 500 W
a
SIGNS NO TRANS
NO LAMPS Z
SERVICE 0 600V too
SERVICE OVER 600V 500
MISc
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE $4
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPL
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
CONDUIT f �Q ♦ y
ELECTRICAL WIRING WIRING ` Si Ir
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM _T14 LEGA WNER�OF THE BOVE" POWER
DESCRIBED RESIDENTIALI'PR ERTY
SIGNATURE c UTILITY CO NOTIFIED I /fD
OF PERMITTEE - FINAL- `j'rL �,y►•y4 �.
/19`)�IDATIONARTHUR C VETT
cx MO CASHI SUPERVISING ELECTRICAL ENGINEER
;`_
iAf' 7 6 0 Q! JAN 3 0 2 D 1 .2 5