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76A663-CE806 8/63 APPLICATION FOR "ELECT PERMIT x, e<-y
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEEF O BUILDING
BUILDING AND SAFETY DIVISIONA/ c ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. 11
REC EP T. TOTAL NO. EACH FEE
OUTLETS FIRST 20 20 III OWNER'
LIGHTMAIL
ADD'L .f0 ADDRESS
SWITCH. I OVER 20
CITY TEL. NO
LIGHTING TOTAL� FIRST ZO .20
FIXTURES ADD'L 1O
V R 20 ELECTRICIAN
O
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS AA 4
GARB.DISP. STA.COOK
CITYEL. NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(+/z H.P.MAX.) ,SO
LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIST IrC'T O. G O P NE /P,Rd ESSED B
O 1 1.00 /J t
1 s 1.50 INSPECTION RECORD
S S 2.00 }
a
8 15 2.50 0
15 50 3.00
O
50 100 5.00 ~
V
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SIGNS: NO.TRANS N
NO.LAMPS
Z
SERVICE 0-60OV-NOT OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 2A0
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT (I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �I� ��
ELECTRICAL WtIRING. WIRING Y,n<r.1 t' +�' �"17-44 0(��Zf"�34t^�',c
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELEP COUNTY A TATE OF FIXTURES
CALIFORNIA OR THAT 1 THELEGA OWNEE ABOVE
DESCRIBED RESIDENTIAL, O POWER 1
SIGNATURE UTILITY CO.NOTIFIED L
OF PERMITTEE
FINAL
LIDATION ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
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76A660-CES06 10-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT TOTALNO. EACH FEE
OUTLETS FIRST 20A 2O$ $ OWNER JAY-/
LIGHT _lo MAIL
ADD'L ADDRESS
SWITCH. OVER 20 .10
LIGHTINGTOTAL FIRST 20 '�N .20 CITY E NO.
FIXTURES ADD'L f0 ELECTRICI N
OVER 20
RANGES r CLO.DRYERS WTR.HTRS. 1.00 Fr� ADDRESS
GARB.DISP. STA.COOK
/ CITYTEL. NO.
DISH WASH. / AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(yz H.P.MAX.) .50 �.f LICENSE NO. ,
rA
MOTORS: OVER NOT OVER H.P. - DISTRICT NO. GROUP ZONE PROCESSED BY
O 1 1.00
1 3 1.50 INSPECTION RECORD
at
3 8 2.00 O
8 15 2.50
od
15 50 3.00
50 100 5.00
d
SIGNS: NO.TRANS. H
NO. LAMPS z
SERVICE 0.60OV-NOT OVER 200A 1.00 e—
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS 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 i AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT AM THE LEGAL NER 71VE
DESCRIBED ROR THAT
PROPERTY. _ POWER
SIGNATURE - UTILITY CO.NOTIFIED �� G.
OF PERMITTEE
FINAL ''U-+<-y-o"-IT
LIDATION ARTHUR C. VEIT d
MO CASH .SUPERV]SING ELECTRICAL ENGINEER
�CK
O.1.9'3%-5 JU141 7 2 D 21.70