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16A663 CE806 5 62 AIJ PLxiI�'l6YiV MN FOR �����ll���C1A Etl0M
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING S �� ,
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP i OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPTj TOTAL __NiO EACH FEE
OUTLETS FIRST 20 $20 $ OWNER ' 7
LIGHT MAIL
ADD 1O ADDRESS
SWITCH �S OVER 20 p
LIGHTING I
'I TOTAL 20 CITY TEL NO
FIRST 2O 3 _
FIXTURES 1 �3 ADDL 1O ELECTRICIAN
OV R 20
RANGES CLO DRYERS WTR HTRS 100 ADDRESS.:�5
li T
GARB-DI STA COOK CITY TEL NO CT O
DISHWASH AUTO WASH STATE
SPACE HTRS A APP (/s P MAIC Z 50 LICENSE NO (S
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MOTORS OVER NOT OVER HP DISTRICT Nin, GROUP ZONE PR CES EDrBY
O 1 loo
1 s r 150 INSPECTION RECORD
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3 8 200 �' r &e9
8 15 250 / 4l r� �ya
15 50 300 1� ,i 3 fly / '�1 �� , _ f
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50 100 500 t
'Alt �2 'hA0
SIGNS NO TRANS yam/ - "' 7 V
NO LAMPS
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SERVICE O 600V NOT OVER 200A 100 h
Z
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 1200
SUPPLEMENTAgY PERMIT ISSUING FEE 100
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICAT NFFIXTURES
S DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM LY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING �/IA
1 HEREBY CERTIFY THAT t AM PROPERLY REGISTERED AND/OR
LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OFCALIFORNIA OR THAT I AM THE GAL OWNER OF THE ABOVEDESCRIBED RESIDENTIAL ROPE N ,/SIGNATURE �J TlF1ED 1Y/JY /V
OF PERMITTEE ,Cv ra,lhl� �„�,-7, �...,d.�
FINAL i�7 `9 fl"`'�j�� ,i�;�S'".�i
OLIDATION ARTHUR C VEIT �ljv
CK MOCASH SUPERVISING ELECTRICAL ENGINEER
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16A663 CE806 5 62 !/•'Vlll LI t��Cb`�TOO V FOR EL E 0 11�I A'L 41 ERM' 17
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING D /D 7
BUILDING AND SAFETY DIVISION ADDRESS C
JOHN A LAMBIE COUNTY ENGINEER J �p
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY [�A1
w NEAREST
FOR APPLICANT TO FILL IN CROSS Sr /
RECEPT TOTAL NO EACH FEE
OUTLETS FIRST 20 $20 $ OWNER L1 /`
LIGHT MAIL
ADD L ADDRESS �Q 6'U F ,0 240,
SWITCH OVER 20 10
TOTAL C /t/ Q ��
LIGHTING I
FIRST 20 20
CITY TEL N /
FIXTURES ADD L 10 ELECTRICIAN
OV R 20
RANGES CLO DRYERS WTR HTRS loo ADDRESS
GARB DISP STA COOK
CITY TEL NO
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP (vp H P MAX ) 50 LICENSE NO
' MOTORS OVER NOT OVER HP DISTRICTNO_ GR Z NE P�ESSED BY
O 1 100
13 150 Q INSPECTION 1) D
3 S 2 00
8 75 250
15i 50 300 V
50 100 500 o
ell-
SIGNS NO TRANS �,/f W
NO LAMPS
SERVICE O 600V NOT OVER 200A 1001
SERVICE O 600V OVER 200 A 2001
SERVICE OVER 600V 500 //✓�
MISC
PERMIT ISSUING FEE 200 -'-
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATB INSPECTORS SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT a
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING )) dna
ELECTRICAL WIRING WIRING;
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR •, O'
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P OPERTY POWER / `J
SIGNATURE UTILITY CO NOTIFIED G
OF PERMITTEE py r
FINAL
VALIDATI ARTHUR C VEIT'•
CK Moll,CASH SUPERVISING ELECTRICAL ENGINEER
LAC03730N AUG31 2 0 300- v
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76A663 CE806 9 64 APPUCAT�ON u If ® LECTRICAL PERMIT
COUNTY OFF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER su1LDING
BUILDING AND SAFETY DIVISION ADDRESS Q�iGY/
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING ? LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL NO EACH E
OUTLETS FIRST 20 $20 $ ,r} OWNER
LIGHT1/ MAIL
SWITCH ADDL f0 ADDRESS
OVER 2O
TOTAL CITY / TEL NO Y'T/
LIGHTING [FIRST 20 20
FIXTURES _ ADDLf0 ELECTRICIAN
OVER 2O
RANGES CLO DRYERS WTR HTRS 100 ADDRESS
GARB DISP STA COOK
CITY EL NO /Cl
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP I'/¢H P MAX ) 50 LICENSE NO
MOTORS OVER NOT OVER H P DISTRICT, GRw,s3ldf' Z P O
O 1 too
��
1 3 ISO INSPECTION RECORD
3 S 200 d
/ O
8 15 250
15 50 300
50 100 Soo s - �,, 0
SIGNS NO TRANS v h
NO LAMPS l `i P / /alA31.61
c� &41Z
SERVICE O 600V NOT OVER 200A too
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V Soo
MISC s
PERMIT ISSUING FEE 2 00
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR SSIGNATURE
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 OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DES (BED ESIDEN A PROPERTY POWER
SIGNATURE c�� UTILITY CO NOTIFIED 11 fI
OF PERMITTEE vv
FINAL f �i`,L9
(DATION JOSEPH C ROOHAN
CK I O CASH SUPERVISING ELECTRICAL ENGINEER
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