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76AG63-CES06-11-87 A P P L I C A T I O N FOR ,ELECTRIC PERMIT - 1`
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
;'UrrII.DING AND SAFETY D gM�aSION ADDRESS
Cl{SSA1R D GRIFFIN.Sup t of Sial LOCALITY .f4"3 a "t"
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMT FEES
ITEM NUMBERI EACH FEE` OWNER
OUTLETS $ $ !_ d MAIL
LIGHTS RECEPT SW 10 //y�� ADDRESS
LIGHTING FIXTURES - 10 CITY s TEL NO ,
ELEC RANGES CLO DRYERS ` , ELECTRICIAN
_ WA T E EATERS 50 ADDRESS 1."i.>r M"
ELEC SPACE HTRS DISHWASHERS tkto d
<GAR AGE DlsaosERs AUT-- CITY Y_TEL NO *&oh /
WASHERS STA COOKING UNITS 25 STATE
LICENSE NO
MOTORS OVER INC H P ,
O — I/2 25 S R PZONIJ READY FOR INSPECTION
1 -
V2 — 2 50
INSPECTION RECORD
2 — 5 100
5 — 15 150
15 — 50 250 rB� \ �-��O VB. $ ►�.
9 - _
50 — 200 500
SIGNS
NO TRANS
_
NO LAMPS �
- t
SERVICE 0-600V 100 t ,P'b 1
SERVICE OVER SOON Soo �
MISC i amu- b
6 � �
WIRING PERMIT 1 00
FIXTURE PERMIT 100 _
SUPPLEMENTARY PERMIT 50
TOTAL FEE g APPROVALS
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPOCATION DATE INSPECTOR SSIGNATURE-
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE �LAWS -REGULATING
ELECTRICAL WIRING WIRING
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I HEREBY CERTIFY THAT_I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND'STATE OF
CALIFORNIA OR THAT I AM THE LEGAL.OWNER OF THE A$OVE POWER /4
DESCRIBED RESIDENTIAL PROPERTY /
SIGNATURE � L� UTILITY CO NOTIFIED
OF PERMITTE QQQQ.••• FINAL r l
UDATION ARTHUR C VETT.
cK Mo CASH SUPERVISING ELECTRICAL ENGINEER
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,76A663-CES06 468 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 7-//
BUILDING AND SAFETY DIVISION ADDRESS /
JOHN A LAMBIE COUNTY ENGINEER '
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
NO EACH FEE
$ $ OWN C�
RECEPT _ MAIL
LIGHT TOTAL FIRST 20 20 ADDRESS
SWITCH OVER 20 10 CITY TEL NO
PLAN CHECK
LIGHTING �TOTAL. FIRST 20 20 APPLICANT
FIXTURES OVER 20 10 ADDRESS
RANGE—DRYER WTR HTR _ CITY " TEL NO
STA COOK_OISP _F A U COIJTRAC roR
SPACE HTR AIR COND ADDRESS
r
CLOTHES WASH `DISHWASH CITY TEL NO, '
FAN—OTHER- 1 00 LICENSE NO CLASS
MOTORS TRANSFORMERS RATING
IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
' ELECTRICAL WIRING
0 - 1 1 00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1„ - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
+CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO 0.
10 - 50 5 00 RESIDE IN THE A ORIF RES TIAL PROPERTY
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SIGNATURE
50 - 100 1000 OF PERMITT E p
100 - 500 15 00 U
DISTRICT NO [��''g(,Q�UP NE P_RO ESSED'BY Lu
SIGN GAS SIGN AND ONE CIRCUIT 3 00 S^ U Y— CL.
TUBE OR
Z_
MARQUEE ADDITIONAL CIRCUITS ' 1 00 NOTES (�
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 G'D
SERVICE OVER 600 VOLTS OR 200 AMP 5 00 ;
TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE
T TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL)
FIXTURES 17
PLAN CHECK FEE (50*PERMIT FEE) h POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 >S UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUI NG FEE[L 00 r- FINAL
TOTAL FEE d JOSEPH C ROOHAN Y
SUPERVISING ELEAL ENGINEER
PLAN CHECK VALIDATION CK , M 0 CASH PERMIT VALIDATION CCK M 0 CASH
L�Lo 7 4 1 8 MV26 2 D 5.0 4�' <
WE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE