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County of LosunAngeles
g l sineer M a
BUILDING AND SAFETY. DIVISION
Dep
UILDING � � ��p
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D GRIFFIN. SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES
OWNER
LIGHTS RECEPTACLES SWITCHES _ 0 a'
NUMBER I 1 T EM EACH FEE MAIL
ADDRESS x
TOTAL OUTLETS $ .10 $
ELEC. RANGES, WATER HEATERS, CITY T O..
CLOTHES DRYERS .50
ELEC..SPACE HEATERS, STAT'Y. COOK- ELECTRIC - - ,
� L [NO UNITS, GARBAGE DISPOSERS, ADDRESS
AUTO WASHERS,;4;ArASHER .25 - - — "_
CITY ' - TEL.NO "
LIGHTING FIXTURES Jo
MOTORS STATE2-
LICENSE NO.
' HORSEPOWER DISTRICTiNO.' GROUP ZONE„
H.P. OVER INC. ; NE READY FOR INSPECTION
I/2 &LESS .25,
1h - 2 .50 INSPECTIQRT RECORD
2 5 1.00
a 5 15 1.50
3.
15 5o ..2.50 -
50 200 5.00
M19C
SIGNS I NO.TRANS
NO.LAMPS
SERVICE'O-600V 1.00
SERVICE OVER 600V 5.00
WIRING PERMIT 1_00 ` Q•Q:'
FIXTURE PERMIT 1.00 b�
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ APPROVALS
i 1 HEREBY ACKNOWLEDGE THATI HAVE READ THIS APPLICATION �'
o DATES 9NSPECTOR'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 CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 4: FIXTURES
LICENSED AS REQUI D BY OS ANGELES COUNTY AND STATE OF �py p
4 CALIFORNIA OR THA 1 THE LEGAL OWNER OF THE ABOVE POWER 1 4-0- O ✓ t r
DESCRIBED RESIDENT ROPERTY. I
SIGNATURE UTILITY CO. NOTIFIED
+�
' OF PERMITTEE FINAL
JOHN A. LAMBIE. IDATION( AR.VHUR C.VETT:
COUNTY ENGINEER $UPERVI5IN8 ELECTRICAL ENGINEER
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