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76A66C CE#'806 5 61 APPLICATION FOR ELECTRICAL. PERMIT
COUNTY OF LOS /ANGELES
DEPARMENT OF COUNTY ENGINEERBUILDING �-
BUILDING AND SAFETY DIVISION ADDRESS �J
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
i FOR APPLICANT TO FILL IN cRoss sT
PERMIT FEES OWNER
1 T E M NUMBER EACH FEE MAIL
OUTLET a SIO S ADDRESS
LIGHTS RECEPT SW
p� CITY TEL NO
D
LIGHTING FIXTURES 10
ELEC RANGES CLO DRYERS ELECTRICIAN
WATER HEATERS 50 ADDRESS
ELEC SPACE HTRS DISHWASHERS
CITY TEL NO
GARBAGE DISPOSERS AUTO- STATE
WASHERS STA COOKING UNITS 2$ LICENSE NO
MOTORS OVER INC H P DISTRICT NQ. GR P ZONE P TnD
Li o— Ids 25
1/2— 2 50 INSPECTION RECORD
2— 5 100 OM 4 X_. eN, , �lG �� 0
150 / /
15- 50 z 50Gl_�� 0
50— 200 $00 / _/ V
GE1"�4i(i W
SIGNS NO TRANS — N
NO LAMPS 1 / _ z
SERVICE O 800V
100 O 9/
SERVICE OVER 600V 500
r
M ISC
WIRING PERMIT 100 O D `
FIXTURE PERMIT 100 �J
SUPPLEMENTARY PERMIT 50
TOTAL FEE z $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP APPROVALS DATE INSPECTOR S SIGNATURE
T THE ABOVE IS CORRECT AND THIS C
AND STATE THAT
CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS R JL1A G /
ELECTRICAL WIRING /� WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED A �OR
LICENSED AS REQUIRCD BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM E LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT[ PRO RTY POWER
OF PERM SIGNATURE UTILITY CO NOTIFIED p f
FINAL If-Ili
C
LIDATION ARTHUR C VEIT
CK MO CASH
t SUPERVISING ELECTRICAL ENGINEER
5404 0 NOV 24 2 0 7.25 N
7a
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76A66C CE'#'806 5 61
14 APPLICATION F®R ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEERJ
BUILDING AND SAFETY DIVISION AR BUILDING ,
JOHN A LAMBIE, COUNTY ENGINEER q
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES OWNER Q
I T E M NUMBERI EACH FEE MAIL
OUTLETS s $ ADDRESS
LIGHTS RECEPT SW 10 CITY TEL NO
LIGHTING FIXTURES 10 't
ELEC RANGES CLO DRYERS ELECTRICIAN
WATER HEATERS $O ADDRESS
ELEC SPACE HTRS DISHWASHERS
f�A��--�——� CITY TEL NO
RBAGE DISPOSERS AUTO ° - STATE
WASHERS STA COOKING UNITS 25 LICENSE NO
MOTORS OVER INC H P DIST ICT OGR P P ES BY
1/2— 2 S0 INSPECTION RECORD
2— 5
100 0..
5— 15 150 U
IS— 50 250 ad0
50— 200 500 H
U
W
SIGNS NO TRANS O.
NO LAMPS H
SERVICE 0 600V 100 0
SERVICE OVER 600V $0o
e
MISC
WIRING PERMIT 100 1
FIXTURE PERMIT 100
SUPPLEMENTARY PERM IT 50 GJ
TOTAL FEE $
I 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
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ,
LICENSED AS REOUIRCD BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE 7 LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL Rt PERTY POWER
SIGNATURE'OF PERMITTEE �L✓ UTILITY CO NOTIFIED
FINAL
ry�ti Cj'�
�LIDATION / `A Hu C VEIT
Mo' CASH SUPERVISING ELECTRICAL ENGINEER
0 4e6o' JAN 3 0 2 0 1 2 5 lo