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76A663.CE806 4-65 APPLICATION FOR ELECTRICAL PERMIT
'COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS J D
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN.W. JENKINS. SUPT. OF BUILDING LOcq !I
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPTACLE TOTAL No. EACH FEE
/ OUTLETS i FIRST 20 IS.20 $ OWNER '
LIGHTMAIL
M SWITCH1O ADD-L ADDRESS
OVER 20 _ /
1 TOTAL FIRST 20 .20 O CITY EL. NO. �O(p
LIGHTING l FIXTURES
FIXTURES I ADD'L IO CONTRACT IR
OVER 20
RANGES CLO.DRYERS WT-.HTR.. 1.00 ADDRESS /
GARB.DISP. STA.COON P
CIT TEL. NO.
DlsHwwsN. AUTO.-WASH. STA E
e SPACE HTRS. STA.APR.I'/.H.P.MAX.) ,50 LICENSE NO. / O
MOTORS: OVER HOT OVER H.P. DISTRICT O.N "OU ZONE PROC SSED BY
—1 0 00 _ d OOL _/
1 s r I l.so INSPECTION RECORD
3 8 12.00
8 16 1 12.50
IS 50 1 3.00 O
so — 100 s.00 V
SIGNS: NO. 0
NO.LAMPS O
LAMPS r
SERVICE 0.600V.NOT OVER 200A 11.00 N
SERVICE 0.60OV-OVER 200 A. I 12.00 Z
SERVICE OVER 600V I5.00l
OTHER (SEE COMPLETE FEE SCHEDULE)
O
PERMIT ISSUING FEE 2.00
6UPPLEMENTABY PERMIT ISSUING FEE 1.00 6/C
TOTAL FEE ® O APPROVALS I DATE INSPECTOR-BBIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF. AND INTEND TO POWER
RESIDE IN.THE ABOVE O )DEO REBIDENTIAfl gOPEflTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
" FINAL �
I JOS H C. ROOHAN�CKMO CASH
\ SUPERVISING ELECTRICAL ENGINEER
l LICO0 7 5 2 KIR 2 4 2 0 3.80 v
C
76ASS3-CE806 10-62 APPLICATION S �R �E�SC�GRI�qAL RM�IT �/I11I'II'1I
LA
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS J '
JOHN A. LAMBIE, COUNTY ENGINEER I,
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY ee
NEAREST �.-./
FOR APPLICANT TO FILL IN CROSS ST.
IRECEPT. TOTAAg L NO. EACH FEE
OUTLETS FIRST 20 b S 20 $ OWNER
ucdr MAIL
swrtcu. 111 Aoo'L h ADDRESS
l OVER 2O .10 V
1
no
TOTD AL / 9 ? CITY TEL. NO.
LIGHTING FIRST 20 .20 d` U
FIXTURES Aoo'L
oYER 20 .10 ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS -
STA.COOK /J�
- CITY TEL. NO.A[J /
DIBIiwASH. AUTO.-WASH. STATE (T�
SPACE HTBS-. BE..APP_(VH P.MAR-) 3' ,50 LICENSE NO. oo�L o
MOTORS: OVER NOT OVER H.P. DISTRICT NO. I GROUP S
Z NE PRO ESEDD' BY
0 1 1.00 q Q , �1`"•L' i
1 3 1.50 ,�nI 'oo INSPECTION RECORD r
3 8 2.00 `T"Za .f _ g rR0 it�.L` V
B IS 2.50
Is 50 3.00 0 Q
50 100 5,00 CAC- W
SIGNS: NO.TRANS. H
NO. LAMPS 2_
SERVICE 0-60OV-NOT OVER 200A 1.00 (p�'L �,�i Nin S -r*g I'A-N-
' SERVICE0.60OV-OVER 200 A. 2.00 011ll ,.r p ^',� I !/
SERVICE OVER 600V 5.00
MISC. 1
e
PERMIT ISSUING FEE 2.00I 7 7-
SUPPLEMENTARY PERMIT ISSUING FEE IAO �i ` l l�. ,�
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I 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 CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE -
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
O
C F PERMITTEE FINAL
V,,)AL,IDATION
ARTHURC. VETT RO CASH SUPERVISING ELECTRICAL ENGINEER
hto0 8 7 5APR23 2 0 1 5.12 0-