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76A663-CE606 3-64 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �G
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST L
RECEPT TOTAL NO EACH FEE
OUTLETS FIRST 20 f/ >$20 $ OWNER GL "
LIGHT MAIL f9
ADD'L ADDRESS -S J
SWITCH OVER 20 .10
LIGHTING TOTAL F1RS720 d 20 p CITY � TEL NO. T _;le
FIXTURES ADD'L 10 ELECTRICIAN 41WbI�Al
OVFR 20
RANGES CLO DRYERS WTR HTRS 1001 1 ADDRESS /P/R,
GARB DISP STA COOK CITY 7'�-S�/J �- C- TEL NO A 7O V J
DISHWABH AUTO,-WASH STATE
SPACE HTRS BTA.APP (+/a H P MAX ) ,50 LICENSE NO
MOTORS OVER NOT OVER HP DISTRCT([/JQ GR ONE P ESSED
O 1 1.00 / 9 �C
I 3 150 INSPECTION RECORD n
s s 200 W
s is 250 �✓�� ����� ���
15 50 300
s0 Igo 500
a
N
SIGNS NO TRANS ' Z
NO LAMPS
SERVICE 0.60OV-NOT OVER 200A too L7
SERVICE 0.60OV-OVER 200 A 200
SERVICE OVER 60OV' 5 00
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE too
TOTAL FEE
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI ATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO MPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGU ATING CONDUIT
ELECTRICAL WIRING WIRING - K
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR �fj !^
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES o As
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY POWER A
SIGNATURE !j UTILITY CO NOTIFIED
OF PERMITTEE '
3�y
FINAL
IDATION ARTHUR C. VETT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LA�o5088G OCTA 2 D 7.60cv
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76AG63-CESOS-8`57 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES n
1-(3
DEPARTMENT
INOF ETOR
BUILDINGND FY DIVLSINADDREISS , GZ �
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D GRIFFIN,SUPT OF BUILDING LOCALITY i
FOR APPLICANT TO FILL IN CROSS sr
PERMT FEES
OWNER
LIGHTS RECEPTACLES SWITCHES MAIL
NUMBER 1 T E M EACH FEE ADDRESS
TOTAL OUTLETS $ 10 $
ELEC. RANGES, WATER HEATERS, x CITY TEL NO
CLOTHES DRYERS 5oELECTRICIAN �' C
ELEC SPACE HEATERS, STAT Y COOK-
INT UNITS, GARBAGE DISPOSERS, lO ADDRESS
AUTO WASHERS, DISHWASHER 25 d
LIGHTING FIXTURES f0 /i CITY 'L < - TEL NO.G d
[STATE
MOTORS LICENSE NO 7
HORSEPOWER
H P OVER, INC
V DISTRICT O GR�O/7U�P N READY FOR INSPECTION
2 @ LESS 25 —( �—/
1/2 2 50 INSPECTION RECORD
2 — 5 100
5 — 1s 150
1s so 250
SO — 200 500
MISC
SIGNSI NO TRANS
NO LAMPS
SERVICE O-600V 1 00
SERVICE OVER 600V 500
WIRING PERMIT 100 OZV
FIXTURE PERMIT 100 0-0
SUPPLEMENTARY PERMIT 50 APPROVALS
TOTAL FEE 0 DATE INSPECTORS SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LIC TION qq
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUITWITH ALL COUNTY 1'/1
ELECTRICAL WIRING ORDINANCES AND STATE LAWS REGULATING WIRING ® ,� �.✓�` ,/J
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THATI M THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RE P OPERT
SIGNATUREUTILITY CO NOTIFIED
OFAl
PER"",_ iv 1 FINAL 7y
JOHN A.LAMBIE. VALIDATION ARTHUR C.VEIT,
COUNTY ENGINEER CK MO CASH SUPERVISING ELECTRICAL ENGINEER
M,j{c,3-'l 2 ,1;tcr-s OCT g 2 1 1 .9 0 0
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