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7BA663-CEB0610.59 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING A��
BUILDING AND SAFETY DIVISION ADDRESS ✓LG
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PEBMT FEES cRoss ST.
ITE M NUMBER EACH FEE OWNER
OUTLE $ MAIL
LIGHTS RECEFT 3 SW. .1O �p ADDRESS -
LIGHTING FIXTURES t0 CITY TEJ,.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRES
ELEC.SPACE HTRS. DISHWASHERS0
CITY, NO.
GARBAGE DISPOSERS AUTO.- STATE ^
WASHERS STA COOKING UNITS .25 LICENSE NO. 1V
MOTORS: OVER INC. H.P. DIST ICT O GROUP ZONE PF3.QCESSED BY
O— .1/2 .25
1/2- 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
IS— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600Y 1.00 ,
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE
I HEREBY•ACKNOWLEDGE THAT I HAVE READ THIS APP (CATION 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 I AM PROPERLY REGISTERED AND/OR WIRING - /s ;�� f•
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES /
CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT L ROP RTY. POWER
SIGNATURE UTILITY CO.NOTIFIED ,0
OF PERMITTE
t�/'7�T T FINAL
®F DATION ARTHUR C.VETT, .
Mo cwsH SUPERVISING ELECTRICAL ENGINEER
MO
5 5 9 .3 '0 ii-Y 2 D
7.60
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