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AA669-CES06-9-57 APPLICATION FOE •- ELEV 9 9 \IV PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 5322 Encinitas
JOHN A.LAMBIE.COUNTY ENGINEER Tem 18, �i t
_ CASSATT D GRIFFIN,SUPT of BUILDING - LOCALITY - t" - J' '
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMT FEES .
ITEM NUMBER EACH FEE OWNER B.J.WILLIAM S. t°
OUTLETS: $ $ AIL n i+
LIGHTS RECEPT. SW. 10 AMDDRESS - 22 nci nitas
LIGHTING FIXTURES 1Q .;o 1100 6,•1•x. Temple L1 t9 TEL NO
ELEC.RANGES CLO DRYERS ELECTRICInAN, D`JAX E}LEQTRI•CAL•E� ]"'
WATER HEATERS 50 ADDRESS 2O, _`'"'� V I StI'EAt_
ELEC.SPACE HTRS DISHWASHERS AT ,
GARBAGE DISPOSERS { AUTO.-' CITYSAltl~1�11YIEi - TEL NoLY .0
WASHERS STA COOKING UNITS .25 - �• - STATE �`] . JJ
LICENSE NO .v
MOTORS: OVER INC H P
0 ��2 25. •- DISTRIC N GROUP N READY FOR INSPECTION
1/z 2 so
INSPECTION RECORD
2 — 5 100
v
50— 200' 500
SIGNS: NO TRANS
NO LAMPS -
SERVICE 0-600V 1 00 QQ
SERVICE OVER 600V 500'
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50 "
TOTAL FEE $ �J APPROVALS
- 1 HEREBY ACKNOWLEDGE THAT I 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 _)_r_ IG/ A�'Ebi
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY,LOS.ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I _peM ,THE LEGAL Y. OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL ROPERT
SIGNATURElD,. y' ay UTILITY CO NOTIFIED
OF PERMITTE
FINAL A
ATION ARTHUR C.VEIT, .
MO 'CASH - SUPERVISING ELECTRICAL hNGINEER
`��b-5 6 7 8 OCTjo 2 A . 7.75