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S..-E° APPLICATION FOR ELECTRIPERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDI BuaowscIAI;Zl
J
JOHN A. LAMBIE, COUNTY ENGINEER ADDRE
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST. /
ITEM INUMBER EACH FEE OWNER >.
$ $ MAIL
..{{ y ADDRESS
LLIIGHTS�( RECEPT.I� SW, ' 7 :10 /O
LIGHTING FIXTURES /10 .10 f D0 CITY TEL.NO-
MI-EC.RANGES CLO.DRYERS ELECTRICIAN ilf % %
WATER HEATERS .50 ADDRE 5
ELEC.SPACE HTRS. DISHWASHERS CITY TEL NO.
GARBAGE DISPOSERS - AUTO.-
STATE EN /-,� �f
_ wgsRERs STA.cooHlrvG UNITS 25 LICENSE NO./ Q Q O `%-/(/
MOTORS: OVER INC. H.P. DIb l lUT NO. I GROUP I ZONE I PRO EED
SSBY
O— 1/2 .25
Ih— 2 .50 NSPECTION RECO
2— 5 1.00 �...,,.I,.�i /. n�i i ,� .i /✓i.�-c
5— 15 1.50 - i -
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
' SERVICE 0-600V 1.00 ` Qv
SERVICE OVER 600V 5.00
MISC.
WIRINGPERMIT 1.00 �Q
FIXTURE PERMIT 1.00 �Q
SUPPLEMENTARY PERMIT .50
TOTAL FEE $
r
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS PATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT c�
ELECTRICAL WIRING. p 9; �
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR WIRING .S �.3/- ..O /7/
LICENSED q9 REOUIREO BY LOS ANGELES COUNTY ANOATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER CA THE ABOVE _
DESCRIBED RESIDENTIAL O TY. (/ DOWER
SIGNATURE i[E i UTILITY CO.NOTIFIED
OFPERMITI'EP 1 FINAL X-'?✓� D .�
8e \T$ DATION ARTHUR C.SUPERVISING ELI
MO CASH ELECTRICAL ENGINEER
- OK .
LITo 1 3 1 4 2 MAY 2 5 2 :A 7.7 0