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76A'663-CE806 3-64 APPLICATION FOR EL CTRICA PERMIT
• COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING nn
BUILDING AND SAFETY DIVISION ADDRESS G; ,
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS SY. ;�. 2-=;-��tL
RECEPT. TOTAL NO. EACH FEE
LIGHT OUTLETS �FIRST20
ffi 20 $ OWNER
MAIL
ADD'L .10 ADDRESS
SWITCH. OVER 20
TOTAL CITY TEL. NO.
LIGHTING FIRST 20 .20
FIXTURES ADD'L
OVER 20 10 ELECTRICIAN i
RANGER LO.DRYERS WTR.HTRB. 1.00 a ADDRESS
GARB.DISP. BTA.COOK Grp
CITY ` TEL.NO.. /O
DISHWASH. AUTO.-WASH. STATE `- ^�
SPACE HTRB. STA.APP.(�/i H.P.MAX.) .50
[LICENSE NO. 'S
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE IE BY
O 1 1.00
1 3 1.50 INSPECTION RECORD y
CL
3 e 2.00 4--2z c6 AjOv
8 Is 2.50
<:01L0"L- JI.yQ AAJ 15;G-P, ` jZ-Aj e(_
15 50 3.00 O
50 100 5.00 uJ
SIGNS: NO.TRANS _ Z
NO.LAMPS r2
SERVICE 0.60OV-NOT OVER 200A 1.00 4(l -�L 7 �� E/� ' �' c L /
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
U
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT 1 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
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS
REQUIRED BY LOS ANGELES C Y AND STATE OF FIXTURES
CALIFORNIA OR THAT I A HE L A OW OF THE ABOVE i
DESCRIBED RESIDENT OP RTY. POWER 1 ! , �•-,, 1,
SIGNATURE / UTILITY CO.NOTIFIED
OF PERMITTE
FINAL �L► �lo,� �i�kV•L�/Ilne-(�-�'J
VALIDAT� ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
76A668-CE806. 10-56. A■ PLICATION FOR 'ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
Department of County Engineer BUILDING / 4➢ T����
County of Los Angeles ADDRESS / (/ �"
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY ��
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. ' ' 9�
qq PERBUT FEES OWNER- 1117,
LIGHTS `p RECEPTACLES q SWITCHES [!/�{(1
NUMBER ITEM EACH FEE MAIL
//y�, ADDRESS /{� rJ 3
TOTAL OUTLETS $ .10 $ 0 °''�' ,f^
ELEC. RANGES, WATER HEATERS, CITY / TEL. NO.
CLOTHES DRYERS ,50 ELECTRICIAN ^,� .��P..� ,G�✓� Iye
ELEC. SPACE HEATERS, STAT-Y. COOK-
ING UNITS, GARBAGE DISPOSERS, ADDRESS 4 4/ N �('f-,�(�� /P
AUTO WASHERS, DISHWASHER .25 !
LIGHTING FIXTURES ,10 CITY X, 2.- TEL. NO. �����
MOTORS STATE D /
LICENSE NO.
HORSEPOWER
H.P. OVER Inc. DISTRICT NO. GRTOU ZONE READY FOR INSPECTION
I/: @ LESS .25 fa
2 .50 �9� -2
INSPECTION RECORD
2 5 1.00
5 15 1.50
v
15 50 2.50
50 200 5.00
misc.
SIGNS I NO.TRANS
NO.LAMPS
SERVICE O-600V 1.00
SERVICE OVER 600V 5:00
WIRING PERMIT 1.00 ® O -
FIXTURE PERMIT 1.00 B 0 QI
SUPPLEMENTARY PERMIT 50 APPROVALS
TOTAL FEE $ ! 100 DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT •1 HAVE READ THIS APPLICATION
L
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUITWRNTY ORDINANCESAND STATE LAWS REGULATINGELECWIRING //Y CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURESASREQUIRED BY LOS ANGELES COUNTY AND STATE OF
A OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
RESIDENT[A OPFTY.RE UTILITY CO. NOTIFIED
MITTEE FINAL r j
JOHN A. LAMBIE. VALMATIOR ARTHUR C. EIT.
COUNTY ENGINEER CK MO H SUPERVISING ELECTRICAL ENGINEER
`� o 1 2 Z 4Arn- AUG 1..6 2 3-0'Q ^�