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76A663-CE606.6.62 APPLICATION FOR ELECTRICAL PERMIT � -
••'COUNTY OF LOS ANGELES 1
DEPARTMENT,OF COUNTY ENGINEER BUILDING ® . O/�.
AAa ND ND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, 8UP•T OF BUILDING LOCALITY �[.
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
:-RECEPT. TOTAL NO. EACH FEE
OUT ETS FIRST 20 B $ 20 $ OWNER
LIGHT / MAIL
SWITCH: �) OVER 20 4 •10 ADORES$, /gyp • ty n-T �f(/••/V/
LIGHTING TOTAL IFIRST 20 r�//� 7.20 CITY �{�/.. TEL. NO. - 7I+
FIXTURES ) J.� ADo'L +
VER 20 .10 ELECTRICIAN
RANGES CLO.DRYERS Wiq.MTR9. 1.00 ADOR��E�6B 97.
J / /�
ARa.DISP. STA.GOOK' CITYM// - Q / (�, TEL. NO. /''7— W-4
019HWASM. AUTO. WASH.• -' STATE
SPACE HTgS. STA.APP.(y H.P. 1 _,50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT O. GROUP5NE PROCESSED BY
0 1 1.00
1 a 1.50 INSPECTION RECORD
3 — s 2.00
8 Is 2.50
15 50
50 100 5.00 0
4 2o{oS� SF Lc - L - L)
SIGNS: NO.TRANS.
NO.LAMPS '1N '�. OL O
SERVICE O.600V-NOT OVER 200A 1.001 ry PI a u
r 0
SERVICE 0-600V-OVER 200 A. 2.00 ,1�0 FO � IQV 'r Z
SERVICE OVER 600V 5.00
MISC. d1� .4 La A�IJ G1 1.LlLL/.J./"
0I[
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ �n
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'8 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT �n
WITH ALL:COUNTY ORDINANCES ANO STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR
LICENSED AS..REOUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER F THE ABOVE
DESCRIBED RESIDENTIAV PROPERTY. POWER
SIGNATUREUTILITY CO.NOTIFIED
OF PERMITT •/ )
FINAL 4 Z: '
IDATION ARTHUR C. VETT
CK MO CASH SUPERVISING ELECT AL ENGINEER "
LrfC0 7 8 0 VG JAN 2 2 2 D 1 8.00-
P4
4�, ��/
76A663-CE80611-71 APPLICATION FOR ELECTRICAL PMIT
COUNTY OF LOS ANGELES
QEPARTMENT OF COUNTY ENGINEER UADDRESS "�
�U ILDING AND SAFETY DIVISION o 3J 1J /��S
FOR APPLICANT TO FILL IN OUTLETS NO. EACH FEE 5 5 Y-1RECEPT._1 FIRST 20 25 LIGHT_ TOTALOVER 20 TEL. N0.
SWITCH .10 PLAN CHECK
APPLICANT
LIGHTING TOTAL FIRST 20 25
FX .10
OVER 20 ADDRESS
TURES
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT r'\ n
RANGE_ORY ER_WTR. HTR._ APPLICANT ^.LyImo�paOL '/
STA. COOKDISP. F.A.U._ ADDRESS —P-0 . '1"G 3
SPACE HTR. AIR COND. CITY W 9O(0 {. NO. 6 -/T� QI
CLOTHES WASH. DISH WAS H._ LICENSE NO. 5_ (q t_
CLASS. -ld
FAN_OTHER 100 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE 6 TYPE OVER TO
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF a
CA N 1A OR THAT 1M THE LEGAL OWNER OF, AN D IHT ENO TO O
yI - 10 3.00 UO RESIDE IN, THE ABOVE DESCRIBED ,RLESIDEN�TIALD PPR OPER{TYY. V
10 - 50 5.00 OF PERMSIGNATURI TTEE I fLCV✓•- "" v'-"^ u' O
50 100 10.00 Cj
DISTRICT N6O CLASS ZO CfSSE BT W
100 - 500 1500 0 0 d
N
Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES:
TUBE. OR
MARQUEE ADDITIONAL CIRCUITS 1.00
s ERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED n
PLAN CHECK FEE
FINAL < `I Z,
PERMIT ISSUING FEE 3.00 .300
TOTAL FEE 6 , O'er
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
1ACm0777 &N AUG 2 g 2.0 6.0 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE V