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76A669-CV0.5Y APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING DS p
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER �J-
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY / 1
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
OWNE
ITEM NUMBERI EACH FEE MAIL
OUTLETS:. $ $ ADDRESS
LIGHTS RECEPT. SW. .10
LIGHTING FIXTURES 10 CITY TEL O.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS
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ELEC.SPACE HTRS. DISHWASHERS CITY / TE(. NO.
GARBAGE DISPOSERS . AUTO.- STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTf�ICTNO GROUP I ZONE I P ESSE BY
0— /i .25 T
1/2- 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50 / ♦r �i_/
lYvu.Y. �r-1 i��!i iiE�i�t7" �.YP.�.�st;f. �•
15— 50 2 50
50-200 5.00 59"e–
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT SO
TOTAL FEE $ 60
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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT -
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS A GELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE EGAL NER OF THE ABOVE
DESCRIBED RESIDENT OPE POWER /1
SIGNATURE ' UTILITY CO.NOTIFIED
OF PERM ITT FINA �`O -Gtr r/�
OF LIDATION ARTHUR C.VETT,
cK� MO CASH SUPERVISING ELECTRICAL ENGINEER