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76A663-CE806-6-57 APPLICATION FOR ELECTRIC PERMIT .1.
COUNTY OF LOS ANGELES
DEPARTMMT_OF COUNTY ENGINEER BUILDING ys r
BUILDING AND SAFETY DIVISION ADDRESS 0'1G+
JOHN A.LAMBIE,COUNTY ENGINEER /
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
NEAREST Goil-
FOR APPLICANT TO FILL IN CROSS ST
PERMT FEES
OWNER
LIGHTS RECEPTACLES SWITCHES MAIL w
NUMBER 1 T E M EACH FEE ADDRESS
TOTAL OUTLETS .10
ELEC. RANGES, WATER HEATERS, ,CITY EL NO
CLOTHES DRYERS 50i
ELEC SPACE H � STAT'Y cools- ELECTRLCIANr QC ?
ING UNI GTS ARBAGE DISPOSERS, ��rADDRESS
//// AUTO WASHERS, DISHWASHER 25
A LIGHTING FIXTURES ,10 . TEL NOMOTORS SE NO / '7� 'T•
HORSEPOWER DISTRIC NO. GROUP ON READY FOR INSPECTION
H P: OVER INC ,
I yQ&LESS 25 Al
V2 — 2 50 INSPECTIOn RECORD
2 — 5 100 p
5 — Is 150
III — so 2 50
SO — 200 500
MISC.
lu
SIGNS I NO.TRANS -
NO LAMPS j
SERVICE O-600V too
SERVICE OVER 600V Soo -
WIRING PERMIT loo
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT .50
LANDITHAT
OTAL FEE $ APPROVALS
REBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICA 0 DATE INSPECTOR'S SIGNATURE
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
L COUNTY ORDINANCES AND STATE LAWS REGULATINGAL WIRING. WIRING 3– 0 LO SSA Y'VRA[REBY CERTIF THAI 1 AM PROPERLY REGISTERED AND/OR FIXTURES
ASREOU D BY' LOS ANGELES COUNT AND STATE OF NIA OR T T 1 AM THE LEGAL OW OF THE ABOVE POWER
ED RESIDEN OPERTYRE . UTILITYCO NOTIFIED ERMITTE FINAL
JOHN A.LAMBIE. VALIDAT ARTHUR C.VETT; '
COUNTY ENGINEER CK SUPERVISING ELECTRICAL ENGINEER
MO CASH
. 0 3 Wa 13 2 A 10.8 0 4")
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