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76A663-CE,806 6-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES .
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS /p p % -
JOHN A. LAMBIE. COUNTY ENGINEER p `F rD'
WILLIAM A.JENSEN, SUPT of BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN ceoss ST. /
RECEPT. TOTAL NO. EACH I FEE I 7
OUTLETS FIRST 20 �� $.20 6 OWNER MES ��C/ O n �lll _
LIGHT MAIL., p
ADD10 ADDRESS /O O a ,0 //y FS
2
SWITCH, OVER O GHTING
LI /� [-
TOTAL FiRsi 20 .20 CITY / a, TEL. NO.
I �
FXTURES ADD'L ,1p ELECTRICIAN J €�/-•
ov R 20
RANGES CLO.DRYERS WTR.NTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY- TEL. NO.
DlsNwwSH. AUTO-WASH. STATE
SPACE HTRS.. STA.APP.fY H.P.MA%.1 '.50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIS _ICT 10, GROUf NE P SSED BY
O 1 1.00 ,
. 1 3 1.50 INSPECTION RECORD
3 6 2.00
15 2.50
15 50 3.00 V r J �-
V D
50 100 6.00 O
V
SIGNS: NO.TRANS.
NO. LAMPS
O
f
SERVICE 0.600V-NOT OVER 200A 1.00 W
SERVICE 0.600V.OVER 200 A 2100 1
N
SERVICE OVER 600V 5.00 - ?
MISC.
U
PERMIT ISSUING FEE 2.00
6UPPLEMENTA13Y PERMIT.ISSUING FEE 1.00
TOTAL FEE $
1
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL 'COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. - WIRING.
1 HEREBY CE RDFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA ORSI THAT I M THE LEGAL OWNER THE ABOVE
DESCRIBED RESIDENTIAL IU:
POWER A
SIGNATOR UTILITY CO.NOTIFIED .ti•�1W" CkyJ�
OF PER EE _ FINAL
VALIDATI ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
13 2 AUG 2 D v
- L
EILo 2 8 � 3.0 0
tgTE M FE C N T V
76A 663•CE806'8.6211 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS i GLD..d
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
NEAREST 7
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE /
F EC EPT, TOTAL jJ ON/NEB� (� I'/..(
`�} OUT FIRST I- $,2O $ v _
LIGHT ) 'MAIL
App2 10 ADDRESS
SWITCH, � OVER 2O
TOTAL CITY TEL. NO.
LIGHTING FIRST 2013 ..10 20 /
FIXTURES l`-��J ADD'LR20 ELECTRICIAN
OV
RANGES CLO.pRYER9 WT R.HTRS. ti... ADDRE56 TLD/ —�GARB.DISP. STA.COOKCITY TEL. NO.
DIBHWASH. AUTO.�WASH.f STATE
SPACE HTRS. STA.APP.('h H.P.MA%.) LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PROC S ED ELY
o I Loo
� n
I 3 ISO / INSPECTION RECORD
3 Vi 8 2.00 t _ 4--
8 15 2.5 O
IS 50 3.00 `•A }
d
50 100 5.00 O
SIGNS: NO.TRANS,
NO.LAMPS C
�OI--
SERVICE 0-60OV-NoT OVER 200A I.00 W,
SERVICE 0-60OV OVER 200 A. 21001 I h
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00 op
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED.AND/OR - V
LICENSED AS REQUIRED BY LOS ANGELES COU TY AND STATE OF. FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OW ER OF THE ABOVE
DESCRIBED RESIDENTIALPROPERTY. POWER
SIGNATURE��' UTILITY CO.NOTIFIED
OF PERMLTTEE 't'`
_.. I FINAL
CKMO TION ARTHUR C. VETT
(/VCK MO CASH SUPERVISING ELECTRICAL ENGINEER
LI 1 7 8 7 7Z APR 2 0 2 0 4.7 G"