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76A�63_CERO6 R_62 - APPLICATION FOR ELECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDIN
BUILDING AND SAFETY DIVISION wo DRESS
JOHN A. LAMB(E, COUNTY ENGINEER r
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN I caoss sr.
RECEPT. TOTAL NO. EACH FEE
' OUTLETS (FIRST 20 2-d' 8.20 $ 0, OWNER
LIGHT 3 ` MAIL
DD / I
A2 10 �+a ADDRESS
SWITCH. / 1 OVER 20 J
LIGHTING I TOTAL IFIRST20 '.20 8'G CITY TEL. NO. ��,
FIXTURES J} 9 ADD'L 1O - ELECTRICIA r Ld. 1
Dv R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP.f' STA.COOKf
CITY TEL. N O S 3
OI6HWA9H. AVTO.-WASH, c+TA c T
SPACE HTRS. STA.APP.(I/H.P.MAX.) .50
o� LICENSE NO. X Q
MOTORS: OVER NOT OVER H.P. DISTRICT NGR P Z NE R EED
O 1 1.00
1 3 1.50 _ yy , > INSP CTION RECORD A ./
3 S 2.00 �9::j1 •{ '� ; n.t�"I c,..S_ jrf ., >�F!
8 15 2.50 +^..� � �)
15 50 3.00
50 100 Soo ��pGUr '.IH �•A. O
NO.TRANS- •Y ry ✓ ��JJrY�� ����//�
SIGNS: NO.LAMPB J•y7- /C�. IIL AlS!/•GF' �,1Ap...'�'L _ O
SERVICE 0-600V-NOT OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 2.001 '1 �� IA
1 I � 1�� '
SERVICE OVER 600V 5.00 - r ,1✓ z
MISC.
PERMIT ISSUING FEE 2.00 po
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 3 ()
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICA ION APPROVALS DATE INBPE=OR8 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT .'1
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 6/7.V/4p3
r��{ ,A
ELECTRICAL WIRING. WIRING O�'ll' [r94-7
1y/ FLV1,
1 HEREBY CERT FY THAT 1 AM PROPERLY REGISTERED ANOjOR YJij�}/�� rr �
LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES Y� D l�
CALIFORNIA OR TH T I AM THE LEGAL OWNER OF THE ABOVE , I -
DESCRIBED RESIDE IAL PROPERTY. POWER I
SIGNATURE UTILITY CO.NOTIFIED lv.,� �j.�' �) O' -i ,J✓j �
OF PERM ITT
FINAL
LIDATION ARTHUR C. VEIT l
CK NO CASH SUPERVISING ELECTRICAL ENGINEER
U10 5 1 8 5 ,> MAY 2 3 2 D 1 1 .3 0~ `•
APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION AADOREss
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST. /n
ITEM NUMBER EACH FEE OWNE lK
OUTLETS: $ S MAIL
LIGHTS RECEPT. SW. .10 ADDRESS
LIGHTING FIXTURES 10 CITY T L.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS y '
ELEC.SPACEHTRS. DISHWASHERS CITY / ' C TEL. NO.e -Z
GARBAGE DISPOSERS AUTO.-
:'TATE' � (- pr—
y STA.COOKING UNITS .2$ LICENSE NO, t Q O
MOTORS: OVER Inc. H.P. DISTRI NO. I RL2}12 I ZO P OGESSED BY
O— 1/2 .25 /
- 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
I5— 50 2.50
50-200 5.00
SIGNS: NO.TRANS. -
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 6 OV 5.00
WIRING PERMIT 1.00 C94
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT ,50
TOTAL FEE Is G7J
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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT g
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF j FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROP,E�R�/l' POWER
SIGNATURE / N UTILITY CO.NOTIFIED "]-
OFPERMITTEE l
FINAL
®r VALID ARTHUR C.SUPERVISING ELECTRICAL CK M ENGINEER
GSX
658.0 FEB17 2 A 2.0.0
76ABE7 -CE#81710.62 -FEAAP L-E- CITY
APPLICATION FOR PLUMBING PERMIT/
COUNTY OF LOS ANGELES Iia 3
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING Do r
HN A. LAMBIE. COUNTY ENGINEER ADDRESS
ILLIAM A. JENSEN, SUPT OF BUILDING -T-��
LOCALITY 1 M P LE LI
FOR APPLICANT TO FILL IN NEAREST —REQ/�
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER C�
/ WATER CLOSET $1.25 /
MAIL
BATH TUB 1,25 ADDRESS Lo Af d D
SHOWER 1.25 CITY _ TEL. NO.
LAVATORY 125 CONTRACTOR .ZI
SINE 1,25 ADDRESS F DISHWASHER 1.25 CITY 93/U ITELCIIO 6
LAUNDRY 'IUB 1,25 CONTRACTOR'S REGISTRATION NO.
CLOTHES WASHER 1.25 DISTRICT NO. a GROUP I ZONE PROCESSED BY
/ WATER HEATER 1.50 D J 1 0 p T A-1 gv"JY"
1.50 INDUSTRIAL
GAS SYSTEM OUTLETS O
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD U
-W
Z
/ /
r r, 40
APPROVALSPATE/q INSPECTORS SIGNAjqfRE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING 7 6� :.!� ,V,
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT 4 1
AND STATE THAT THE ABOVE I$ CORRECT AND AGREE TO COMPLY I. A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER Z
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSEp AS REQUIRED BY L09 ANGELES COUNTY AND STATE OF GAS TEST 7 )
CALIFORNIA OR THAT AM THE LEGAL OWNER OF.AND INTEND TO +Nd IJ r
RESIDE IN,THE ABOVE DESCRIBED pE51OENTIAL PROPERTY, UTILITY CO. NOTIFIED a -� ��y-�•�
SIGNATURE I /
OF PERMITTEE FINAL !j %
ALIDATION ROBERT A. WOOD
M.O. CASH SUPERVISING MECHANICAL ENG'R
L,i6C4583:?, ;;r 13 5 D 11 .25 )
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