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111113-CEBOS 10-61 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS of f V
.JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
RM
REFOR APPLICANT TO FILL INOSS ST.
I T E M NO, EACH FOUTLETS: (FIRST 20) 6 20 SWNERLIGHTS RECEPT. SW. ILOUTLETS: (ADD'l UNITS) DRESSLIGHTS RECEFT. SW. .10
LIGHTING FIXTURES: (FIRST 20) 20Y TEL. NO. 7 40 16 1
LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN
RANGES CLO.DRYERS WTO.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL. NO.
DISHWASH. AUTO.-WASH. STATE /.
SPACE HTRS. STA.APP.(yy H.P.MAX.) ,50 LICENSE NO. J�
MOTORS: OVER NOT OVER H.P. DISTRIC d GROUP ZONE P SSED BY
o — 1 Loo ()
1 3 1.50 INSPECTION RECORD
3 9 12.00 Q
a 15 2.50 V
o:
15 — so 3.00 O
50 100
d
SIGNS: NO.TRANS. h
NO P6
SERVICEO.6 - OT ODA 1.00
SERVICEO-6 OV-OV R OA. 2.00
SERVICE OV A600 5.00 1
PERMIT ISSUING FEE 2.00
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 IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING // •/ !
1 HEREBY CERTIFY THAT 1 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 RESIDENTIA P ERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
v L/ VALIDAT� ARTHUR C. VETT
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
LACO2 5 5 3% AUG 6 2 0 3.40- Q
xv
r ��
11-71
IOA863-CEBO810-e1 APPLICATION FOR ELECTRICAL PE
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION aoDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY m U
NEARESTFOR APPLICANT TO FILL IN CROSS ST.1 T E M NO. EACH FEEounEr3: ( sT zo) ?j 620 S OWNER � /LIGHTS RECEPT. WMAILOUTLETS: ADD•L UNITS) j ADDRESSLIGHTS RECEP. SW. / .1GLIGHTING FIXTURES: (FIRST 20) 20 CITY TELLIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN
RANGES CLO.DRYERS W(R.HTRS. 100 kADRESGARB.DISP. STA.COOK TEL
DISHWASH. AUTO.-WASH. e �J E
SPACE HTRS. STA. PA P.I H.P.MA%.1 v -50 NSE NO. ��
MOTORS: OVER NOT OVER H.P. DISTRICT O. G Z NE PRO ED BY
o — 1 1.00 — "r
1 3 1.50INSPECTION REC RD
r
3 S 2.00 G� O
6 15 2.50 U
ad
15 50 3.00 O
50 100 5.00
d
SIGNS: NO.TRANS. UJ
NO.LAMPS Z_
SERVICE 0.600V-NOT OVER 200A 1.00 7J
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 12.00 / �J
rHEREBY
ENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 6/
EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI TION APPROVALS DATE INSPECTOR'S SIGNATURE
ATE THAT THE ABOVE IS CORRECT AND AGREE TO C MPLY (JONDUIT
LL COUNTY ORDINANCES AND STATE LAWS REGULATING
ICAL WIRING. WIRINGEBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
ED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES i' 4 RNIA OR THATI AM HE LEG�"WNER OF THE ABOVEED RESIDEN 1 PRY. \ ' POWER
TURE �� UTILITY CO.NOTIFIEDr'�RMITTEE_ FINAL ,/FF
�LI O CAS ARTHUR C. VETT
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
LAL�3 9 0 5t�J SEP 4 2 p 1 4.40~