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76A663A=C--EBO6A 4/72 APPLICATION R ELECTRICAL PERMIT LJ -
1`Y'
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGINEER ADDRESS C L
BUILDING AND SAFETY DIVISION
LOCALITY
i
NEAREST
FOR APPLICANT TO FILL IN CROSS ST L
OUTLETS NO EACH FEE
$ $ OWNER
RECEPT MAIL
TOTAL
LIGHTo
-
FIRST 20 3 U ADDRESS
CITY TEL NO
SWITCH _ OVER 20
PLAN CHECK
LIGHTINGTOTAL FIRST 20 - O APPLICANT
FIXTURES
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT �C,%' '
RANGE DRYER_WTR HTR APPLICANT/ , L
STA COOK DISP F A U ADDRESS J Oro
SPACE HTR AIR COND CITY wG TEL NO yLla-
CLOTHES WASH DISHWASH LICENSE NO ilo CLASS C—IO
FAN OTHER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE,THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING C�
IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR CD
CD
0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE L OWNER OF, AND INTEN TO W
1 - lO 'T RESIDE IN, THE ABO E DE RI ED RESIDENTIAL ROP R Y y
GD Z
10 - 50 SIGNATURE OF PERMITTEE i
50 - 100
DISTRICT NO CL AU ZONE PR!qESSED BY
100 - 500
SIGN, GAS SIGN AND ONE CIRCUIT NOTES
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICENOTOVER 600 VOLTS OR 200 AMP
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AM P
TEMP POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES
UNDERSLAB WORK '
TEMP LIGHT OR RECEPT SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL),
PLAN CHECK FEE
UTILITY CO NOTIFIED
�ZZ /
FINAL
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION M o CASH
8 8 5 OCT 21 2 D 1 5:1 0 098
O
63
DEIS 5A 3-SS ! 0 AL I M A 9 I O � F®R C ,E L E V T C CIC PERMIT
Ymoi,
BS SA
DMSION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDINGJ— /Y V @ e
WM J FOX. COUNTY ENGINEER ADDRESS C�
_ CASSATT D.GRIFFIN.SUPT OF BUILDING
LOCALITY f
FOR APPLICANT TO-FILL IN NEAREST
b PERMIT FEES CROSS ST d a
' NUMBER EACH FEE
OWNER
'LIGHT OUTLETS _
MAIL
RECEPTACLES Z ADDRES
WALL SWITCHES `
TOTAL OUTLETS 5¢ $ d CITY TEL NO S
ELEC RANGES' 25 ELECTRICIAN -
I
_ELEC HEATERS 25 ADDRESS
KW EA CITY TEL NO
FIXTURES 5 LICENSE NO mmammM
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I—GROUPONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS .IDD 'A n '
MOTORS , rr
NUMBER HORSEPOWER ' INSPECTION RECORD
FEE
NEW MVD I HP' OVER INC, EACH
1/2&LESS $ 25 _
1�2 2 so
2 5 - 1 00
5 15 1 50-17 - -
15 50 2 50
50 - '200 500
MISC'
NO`SIGNS ` NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT _
WIRING $1 00
FIXTURES - _ '$1 00
SUPPLEMENTARY 50, APPROVALS -
TOTAL FEEDATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWL'EDGE,l THAT I HAVE READ THIS APPLICATION `CONDUIT
AND STATE THAT THE ABOVE ICORRECT AND AGREE TO COMPLY WIRING
WITH ALL COUNTY ORDINANCES
S AND'STATE LAWS REGULATING
'ELECTRICAL WIRING - - -
I HEREBY CERTIFY THAT 1 AM_ PROPERLY REGISTERED AND/OR FIXTURES
L`iCENSED AS REQUIRED BY ;PTY.
ANGEL COUNTY.AND STATE OF - -
CALIFORNfA OR THAT AME LEG •OWNER OF E ABOVE POWER '
DESCRIBED RESIDENTI By
-
UTILITY CO NOTIFIED -- ---^�� �•
SIGNATURE
OF PERMITTEE FINAL
WILLIAM J. . COUNTY ENGIN E VALIDATION A.C.VEIT.CHIEF ELECT.-INSPECTOR .
,� Q�4,4-,I,S' .M V 30, 2 �` 2.2,5' :�
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER ELECTRIC 1
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOB, COUNTY ENGINEER
FOR APPLICANT TO'FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
ADDRESSRECEIVED BY READY FOR . DATE ISSUED
FIRST INSPECTION
CITY TEL NO ►®'/J r
COUNTY LICENSE NO. EXPIRES BUILDING
PERFEES ADDRESS
MIT
FEE
` NUMBER EACH LOCALITY
LIGHT OUTLETS 3 NEAREST ck
RECEPTACLES CROS ST LL A
WALL SWITCHES �r /
OWNER � C b e-
TOTAL OUTLETS SC $ MAIL CC 1
ELEC. RANGES 25 ADDRESS Ce1..7 D 0n/� �
ELEC HEATERS 25 CITY TEL. NO I N�
FIXTURES 5
MISC I HEREBY ICKNOWLEDGt THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS I
AND ,AGREE.TO-COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBERHORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER I INC. EACH OF THE RESIDENTIALPROPERTY DES RIBED ABOVE.
I2 a LESS $ 25
SIGNATURE OF
I/2 2 50 PERMITTE
2 s 1 00 SPECTION RECORD
S 15 1 50
15 SO 2 50
SO 200 5 00
v 200 SOO 10 00 J
SOO 1 1000 15.00 ' Z
OVER 1000 20 00 X
M.G. SET FREQ. CHANGER-HP +` 2
WELDERS: AC-KVA 0
GENERATORS -KW ,
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
'SIGNS.
NO. NO TRANS.
APPROVALS
NO NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 C?—WIRING
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE $ iS 64"V" TILITY CO NOTIFIED
V FINA
78A 4189 DHS#I' SA 4-82
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