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76A66C CE#'806 5 61 APPLICATION FOR ELECTRICAL PERMIT - -
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY-ENGINEER BUILDING r
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE. COUNTY ENGINEER �^
' WILLIAM A JENSEN,SUP T OF BUILDING LOCALITY A - �� a'r� A.' C /' /��:�f L •1�.
NEAREST
FOR APPLICANT TO FILL IN �d .
CROSS ST . !`YC P9 .. a
PERMIT FEES OWNER F!z I C ' / %�� +ey_0kZ %•
1 T E M NUMBER EACH I FEE MAIL ,r—
OUTLETS J S $ ry-y'�J ADDRESS
LIGHTS j RECEPT Jii SW / 10 �% �+
f CITY TEL NO R+ T i§�
LIGHTING FIXTURES '10
ELEC RANGES CLO DRYERS EL`ECTRICIAN ..-•�- ��?�
{.✓, N
W A T E I R H E A T E R S 50 ADDRESS A _
ELEC SPACE HTRS DISHWASHERS
CITY, TEL,NO
GARBAGE DISPOSERS AUTO- STATE
WASHERS STA COOKING UNITS 25 LICENSE NO—,-----
MOTORS OVER INC HP• DIST
ZO E PR ,'CESSED B
O— 25 GRQ '
` I/2- 2 50 INSPECTION RECORD u
W
2— 5 100
5— 15
150 y,
i`
15-- 50
250 `
50— 200 500 ro
SIGNS
NO TRANS , O.
+ y
NO LAMPS '
SERVICE 0-600V 100 I
SERVICE OVER 600V -500
-
MISC
WIRING PERMIT 100
FIXTURE PERMIT
,100
SUPPLEMENTARY PERMIT 50
TOTAL FEE $- -
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE A 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 1 - • - -
WIRING
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROP Y _ �ry POWER
,SIGNATURE C///Y� �f/ I -
OF PERMITTEE L• �'-'�'��' �, �" �` '�'�"� UTILITY CO NOTIFIED
FINAL
VALIDATION— ARTHUR C VEIT
CK 'MO ASH SUPERVISING ELECTRICAL ENGINEER,',-,
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, �t ,* � 2 k
76A663-CE806-6-57 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING fi'9, /-
WELDING AND SAFETY DIVISION ADDRESS ]� G
JOHN A.LAMBIE,COUNTY ENGINEER t� /�
CASSATT D GRIFFIN,SUPT OF BUILDING LOCALITY 1;l' /V,
FOR APPLICANT TO FILL IN CROSS ST O sp M �-
PERMT FEES
OWNER A
LIGHTS RECEPTACLES SWITCHES /
NUMBER 1 T E M EACH FEE MAIL
ADDRESS
TOTAL OUTLETS 10 S s
ELEC RANGES WATER HEATERS, CITYS ffA� FIEL NO AI-4—V/
CLOTHES DRYERS 50
ELECTRICIAN
ELEC SPACE HEATERS STAT Y COOK
ING UNITS GARBAGE DISPOSERS, ADDRESS
AUTO WASHERS DISHWASHER 25 ,R
LIGHTING FIXTURES 10 CITY / ai'EL NO
STATE �
MOTORS LICENSE NO
HORSEPOWER Osman
H P OVER INC DISTRNO GrP ON READY FOR INSPECTION '
'A @ LESS 25 IC �L/
1/2 2 so INSPECTION RECORD
2 5 100
5 15 1 50
15 SO 250
50 — 200 500 -
MISC f'✓ ,. r
SIGNS NO TRANS
NO LAMPS
SERVICE O-600V too / '00
SERVICE OVER 600V 500
WIRING PERMIT 100
FIXTURE PERMIT too
SUPPLEMENTARY PERMIT 50
APPROVALS
TOTAL FEE S DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWN OF THE ABOVE POWER
DESCRIBED RESIDENTIAL
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE FINAL
JOHN A LAMBIE, VALIDATION ARTHUR C VEIT.
COUNTY ENGINEER CK MO CASH SUPERVISING ELECTRICAL ENGINEER
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