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76A661. CL#806 5 6, APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES Im
DEPARMENT OF COUNTY ENGINEER 113 BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES OWNER
1 T E M NUMBER EACH I FEE MAIL
77 ADDRESS
LIGHT./ ECEPT O-I SW L,7( $10 S 70 CITY :TELN7
LIGHTING FIXTURES 10 d-.D
ELEC RANGES CLO DRYER ELECTRICIAN WATERHEATERS 50 ADDRESSELEC SPACE HTRS/DISHWASHER9 ICITY
GARBAGE DISPOSERS J AUTO STATE
WASHERS STA COOKING UNITS 25 LICENSE NO
MOTORS OVER INC H P DISTRICT NO IG=l ZONEP ESSELD BY
t
0— I/2 25 S
1/2— 2 50 INSPECTION RECORD
2— 5100
vp_^ O
5— 15 150
IS— 50 250 ' Q
50— 200 - J•�� app c,i F
500 c /J� •/�'P^�' � 6'�.✓'�✓ L^�"1 �7`:Y/Je�frl'JIII
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SIGNS NO TRANS0.
NO LAMPS ..+i`!�7.-,�.�. Z
SERVICE 0 600VLS —
1 00
SERVICE OVER 600V 500
MISC
WIRINGPERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50 /
TOTAL FEE S
IH
ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING WIRING
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE \ - -
DESCRIBED RESID NT L PRO TY POWER
SIGNATURE `/i� UTILITY CO NOTIFIED
OF PERMITTE
FINAL
(DATION ARTHUR C VEIT
MO CASH SUPERVISING ELECTRICAL ENGINEER
CK
x
LA,C,o 9 5 8 4 F IhR 1 42 D 1 0 1 5
76A863`E206 1/70 APPLICATION #0ECE" TRI A PL ERIVII
• COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY /l i/�
NEAREST •ter /
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH I FEE
OWNER
RECEPT_ $ $ MAIL
FIRST 20
ADDRESS
20 f
LIGHT TOTAL CITY �'� TEL NO '��--
SWITCH OVER 20 10
PLAN CHECK
LIGHTINGTOTAL 1 ��O10
FIRST 20 20 APPLICANT
FIXTURES
J}
VER 20 ADDRESS
APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR APPLICANT 77
STA COOK DISP F A U ADDRESS
SPACE HTRAIR COND / CITY TEL NO e
CLOTHES WASH OISHWASH LICENSE NO ��a CLASS
FAN OTHER 100 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY TH T I AM ROP R Y GI ERED ANDIR
0 - 1 100 LICENSED AS REQUIRED BY LO /S NGE E OU T NO ST T F
CALIFORNIA OR THAT I AM H G ER AND I TO
1 - 10 300 RESIDE IN THE A OV D RI ESI I TY
SIGNATURE 0
10 - 50 500 OF PERMITTEE V
50 - 100 1000 p�
DISTRICT NO CLASS GRO P ZO ROC SED BY Q
100 - 500 1500
SIGN GAS SIGN AND ONE CIRCUIT 300 NOTESul
h
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 Z
SERVI CENOTOVER 600 VOLTS OR 200 AMP 200
APPROVALS DATE INSPECTOR S SIGNATURE
SERVICEOVER 600 VOLTS OR 200 AMP 500
TEMP POWER POLE
TEMP SERVICE POLE &APPURTENANCES 300
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDIUT
WIRING
PERMIT FEE (SUB TO FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO NOTIFIED
PERMIT ISSUING FEE 200 � /)
SUPPLEMENTARY PERMIT ISSUING FEE 100 FINAL J717-v�
JOS P C ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEEP
PLAN CHECK VALIDATION CK 0 CASH PERMIT VALIDATION 0
M 0 CASH
r AP 7 510V10 2 D 4,00N
-� -
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE // k