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FOA663-CESOO-9-57 APPLICATION FO tl , ELECTRIC E EY 9MY Y
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Ob4 Aop
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES
I T E M NUMBERI EACH FEE OWNER
OUTLET $ S MAIL '
LIGHTS RECEPT SW �� 10 ADDRESS
LIGHTING FIXTURES 10 CITY Ef NO
ELEC RANGES CLO DRYERS E L E C T R I C I A P
WATER HEATERS 50 ADDRESS Q s
ELEC SPACE HTRS DISHWASHERS *�
GARBAGE DISPOSERS AUTO- CITY TEL NO /fOb�.
ATE
WASHERS STA COOKING UNITS 25 LICENSE NO
MOTORS OVER INC H P Eumam
O — 25 DISTRIC NO GR UP ZONEREADY FOR INSPECTION
1/2 2 so LZ k
INSPECTION RECORD
2 — 5 100
5 — 15 150
IS — 50 250
50— 200 500
SIGNS NO TRANS
NO LAMPS
SERVICE O 600V 100
SERVICE OVER 600V 500
MISC
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE $ APPROVALS _
I HEREBY ACKNOWLEDG THAT I HAVE READ THIS AP IC ON DATE INSPECTOR SSIGN TU E
AND STATE THAT THE VE IS CORRECT AND AGREE TO COM CONDUIT �.� r� >rt
L
LL COUNTY NANCES AND STATE LAWS REGULATING
CAL WIRING WIRINGp� _ AEBY CERTI HATI PROPERLY REGISTE AND/OR FIXTURES �-�[°f`�S')y �,� '!�D AS REQ BY NGELES COUNTY TATE OF
NIA OR 1 AM H EG WNIABOVEED RESID L PO POWERURE UTILITY CO NOTIFIEDRMITT V �w uv a.s,��y�yr•�
FINAL
V* !ATION _ ARTHUR C VEIT
+ %x MO CASH SUPERVISING ELECTRICAL ENGINEER
IACO2 8 4 9L APP 14 2A 5.80
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