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76AS89 cE8087 88 APPLICATION FOR ELECTRIC PERMIT
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 �L l�-
FOR APPLICANT TO FILL IN NEAREST p y�
PERMIT FEES CROSS S
1 T E M NUMBER1 EACH FEE OWNER
OUTLE ^J $ MAIL
LIGHTS RECEPT SW / (f� ,O ( `� ADDRESS
LIGHTING FIXTURES 10 CITY TEL NO �/
ELEC RANGES CLO DRYERS ELECTRICIAN ..v`/u 11,4A 1 77r(T ,
WATER HEATERS 50 ADDRESS
ELEC SPACE HTRS DISHWASHERS
CITY TEL NO Q y
GARBAGE DISPOSERS AUTO
STATE
WASHERS STA COOKING UNITS 25 LICENSE No
MOTORS OVER INC H P •� DISTRIC NO GROUP z E CESSED BY
0— 1/2 2 s [1
1/2— 2 50 INSPECTION RECORD
2— 5 too
5— Is 1 50
15— 50 2 50
50-200 Soo
SIGNS NO TRANS
NO LAMPS
SERVICE O 600V Too D
SERVICE OVER 600V Soo
MISC
WIRING PERMIT 100
FIXTURE PERMIT too 0
SUPPLEMENTARY PERMIT 50
TOTAL FEE $ 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
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE
FINAL
LIDATION ARTHUR C VEIT
/-77 MO CASH SUPERVISING ELECTRICAL ENGINEER
( yip 69326; 11A, 232 2 A 990 "
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