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A°°'.`B°�°' °° APPLICATION FOR ELEO_rRIC PERMIT
COUNTY OF LOS ANGELES - =-- - ---•--_-
DEPARTMENT OF COUNTY ENGINEER SUILDI NG c
BUILDING AND SAFETY DIVISION ADORES, O (
JOHN A. LAMBIE, COUNTY ENGINEER I
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY /_
FOR APPLICANT TO FILL IN NEAREST �? 1
PERIMT FEES cRosSSr. pCC
OWNER �A.r iZ A
ITEM NUMBER EACH FEE MAIL
OUTLET $ 10 $ PC, ADDRESS
LIGHTS RECEPT D W. d
LIGHTING
CITY TEL.NO.
ELEC.RANGEBIXTUCLEO.DRYERS / 10 / 3� ELECTRICIIA(N?RICHAnRDSON.. ELECTRIC
K�CO.,� C O
1 WATER HEATERS .50 ADDRESS 8923 E. BROADIYAl. 11VC-
ELEC.SPACE HTRS. DISHWASHERS CITYSAN GABRIEL. TEL. No.AT.7-0359
GAOBAGE DIBP09E1iJ'J 4��1 STATE
WABHE STA.COOKING UNITB .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT NO. GROUP ZO;Vj PR -CESSED BY
v=— 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
so—200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00 /Ja
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT1.00 QO
FIXTURE PERMIT 1.00 ryp
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ �}
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT -
ELECTRICAL WIRING. / �lAptil -11
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ATE OF WIRING 9 AgqCXY
LICENSED AS R THAT
ED' BY LOS ANGELES COUNTY AND E AB OF FIXTURES iB �� (�A !.y'
DESCRIBED
OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DEBCRIBED RE910ENT1 PROPERTY. POWER
SIGNATURE /' UTILITY CO.NOTIFIED Z/ /A2
OF PERMITTE l•-
FINAL li �U
®. /vn�DATION ARTHUR C.VETT,
Mo cwBH SUPERVISING ELECTRICAL ENGINEER
L'.s 3 9 3 6 5 2 D 9.5 5