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VBABBS-CESOG T-BB APPLICATION FOR ELECTRIC PERMI 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY Aezx
FOR APPLICANT TO FILL IN moss ST ^''/� uI(- 1
PERWT FEES
1 T E M NUMBER EACH FEE OWNER
OUTLETS: S $ MAIL G� A
LIGHTS RECEP/ SVVJ .10 ADDR E$$
LIGHTING FIXTURES .f0 , CITY TEL. NO.
ELEC. RANGES CLO. DRYERS ELECTRICIAN A / P
WATER HEATERS .50 ADDRESS
LEC.SPACE HTRS DISHWASHERS /� ,f
Is os auTo.- J CITY TEL. NO. — V
STATE //_
11-WASHERS STA. COOKING UNITS l .2$ LICENSE NO. / �V
MOTORS: OVER INC. H.P. .( DISTRIS.T NO. GR{DSJP zONE PROCESSED BY
1 O— 1/1, .25 J ..� tr Z
.50 INSPECTION RECORD
2— $ 1.00
5— Is 1.50
15— 50 2.50
50-200 5.00 �' 9
SIGNS: [7��/�^/ ./
NO. TRANS. , �" /C/�// /YO/
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q
NO. LAMPS rrFp7-,e t' - /1 L 4 FTS
SERVICE 0-600V 1.00
laVo . s� x Fr r 0o/-�Pzci-
SERVICE OVER BOOV 5.00
MISC. /� fl/J✓T FF Hr
WIRING PERMIT 1.00 �?E /'F/''—R T1 'vr1'_
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ APPROVAIS
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION /- DATE JINSSPPE/(C./TORR''S/SIGNATURE
ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING •LI
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR Jv'
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL 0 ER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERyif7
SIGNATUREC/Qy' UTILITY CO. NOTIFIED �2Z'
OF PERMITTEE !l FINAL - P
VALIDATION ARTHUR C. VEIT,
CK 1 NO CASH SUPERVISING ELECTRICAL ENGINEER
L,ko 6 3 6 6 v, MAY 14 2 A 7.5 5VI PIT