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7BA688-CE806—,,—,,APPLICATION FOR "EL E C TRI C PERMIT'
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
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BUILDING AND SAFETY DIVISION - �
JOHN A. LAME, County. Engineer
CASSATT D. GRIFFIN, Sup t of Building LOCALITY
NEAREST , . I � :�„•�•,.
FOR APPLICANT TO FILL IN. , CROSS ST
PERMIT FEES / U/1 ��
1 T E M NUMBER •�EACH FEE OWNER [ .'V L.J6,,
OUTLETS MAIL _
LIGHTS RECEPT SW 10` {� ADDRESS
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LIGHTING FIXTURES 10 CITY TEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN /+
WATER HEAT E RS 50 "� �•"' '
ELEC.SPACE HTR6 DISHWASHERS _ p ADDRESS orf,2 O 4?O.
,GARBAGE DISPOSERS AUTO'— - CITY .TEL NO J
WASHERS STA COOKING UNITS" 25 - STATE
LICENSE NO
MOTORS. OVER INC H P
DISTRICT NO. JGROUP� ZONE READY FOR INSPECTION
O — V2 25
1/2 — 2 50
2 — 5 1 00 = INSPECTION RECORD
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5 — 15 ISO
15 — 50 2 50
50 — 200 ---500
SIGNS: NO TRANS
NO LAMPS
SERVICE 0-600V 100
SERVICE OVER 600V 500
MISC
WIRING PERMIT 100
FIXTURE PERMIT 1.00 '
SUPPLEMENTARY PERMIT 50 U TOTAL FEE r w s = APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AVREQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AME LEGAL 7OWN OF THE ABOVE ' POWER
DESCRIBED RESIDENTIAL PRO RTY.
SIGNATURE 'UTILITY CO NOTIFIED ,
OF PERMIT' FINAL
VALE ART URC.VETT,
CK MO. CASH SUPERVISING ELECTRICAL ENGINEER
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♦78A6637CE506-I1-57APPLICA`1,b0 l�•a
COUNTY OF LOS ANGELES
s
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING_AND SAFETY DIVISION r ADDRESS
JOHN A. LAMBIE, County.Engineer L/
CASSATT D. GRIFFIN, Supt of Building yLOCALITY /t/
„NERAREST ,_,;
FOR APPLICANT TO FILL IN COss sT vS a
PERMIT FEES c
1'T E M NUMBER EACH 1 FEE .OWNER 0V Zll +l 6�
OUTLET $ _ $, MAIL
LIGHTS RECEPT SW_ 10 _ ADDRESS
LIGHTING FIXTURES 10 CITY a TEL' 'NO,
ELEC RANGES, CLO DRYERS'- �.
;ELECTRICIAN & B i•
WATER HEATERS" • 50
ELEC SPACE HTRS DISHWASHERS - ADDRESS D�O d a
GARBAGE DISPOSERS _AUTO- n CITY TEL NO
J
WASHERS STA COOKING UNITS• " d 25 LICENSE NO
MOTORS- OVER INC HIP - - - '� _ '
_''DISTRIC NO GROUP[ ZONE READY FOR-INSPECTION
25
1/2 — _2 50 -
INSPECTION RECORD
2 — 5 - - 1 00
5 — 15 Jt 50 �'1 • _
2,50
50 — 200 S 00
-SIGNS_NO_TRANS._ t I 2 _ N.1 C�, -
-NO LAMPS
n
SERVICE,0-600V '100
SERVICE OVER 600V 5'00
MISC
WIRING,PERMIT '1 O0'
FIXTURE PERMIT , - -'1.00
SUPPLEMENTARY PERMIT - 50a
71"°-- APPRO ALS----- -•-�
I HEREBY'ACKNOWLEDGE-THAT Ir HAVE READ THIS;APPLICA ION` I. ., DATE INSP,E.CTOR'-S'S NATURE_
AND STATE"THAT THE ABOVE IS CORRECT AND AGREE'TO COMPLY' CONDUIT, yl _ash'
WITH ALL COUNTY ORDINANCES AND 'STATE' LAWS REGULATING
ELECTRICAL WIRING.,, WIRING 1� _•�S� L� r
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 HE LEGAL OW ER OF- THE ABOVE pOWER
DESCRIBED RESIDENTIAL PRO RT ,
.SIGNATURE UTILITY CO♦NOTIFIED
OF PERMIT TE
FINAL '•
ATION-` `ART UR .VEIT.
CK Mo' SUPERVISING ELECTRICAL ENGINEER„
EER,
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