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76AGF3-CES06 10-62 APPLICATION OR�ELECTR CAL PERMIT -
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING O 2 p T�e�Y (�
BUILDING AND SAFETY DIVISION ADDRESS / U
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY le- C;-1,
NST
----- -- -FOR APP-LICANT TO FILL IN CROSS sr. l_ -
RECEPT. /0 TOTAL ------NO. EACH FEEdELECTRICIAN
OWNEROUTLETS FIRST20 O $,20 LIGHT MAILADD'L ADDRESSSWITCH. OVER 20 .10LIGHTING TOTAL FIRST 20 ,20 CITY TEL. NO.
FIXTURES I� OVER 20 10 .0,S-C_/4j4
111 �/ (�
RANGES CLO.DRYERS WTR.HTRS. 1.001 ADDRESS . 7
/� T /� �Tj
GARB.DISP. STA.COOK CITY �io� P(�J'� TEL. NO -_ !ipvl
DIS _ AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(yi H.P.MAX.) .50 Cn LICENSE NO. 7
OVER NOT OVER H.P. - DIST ICT O. GROUP ZONE JPA9CESSED BY
O 1 1.00 L !�✓L
1_ 3 1.50 INSPE ION RECORD ,9
3 B 2.00 f 0��/J�/� �/ %�C/(,� .1sT,",'+P•G"""tr �E11�~1 ��
8 15 2.50 � �,��• -,n,�5
15 50 3.00 WY a / ,.✓ O
50 100 5.00 1Cr /
b.
SIGNS: NO.TRANS. -
NO.LAMPS
SERVICE 0.60OV-NOT OVER 200A 1.00 VV
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 o
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 ® ,�
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES l!N klli� p
CALIFORNIA OR THAT 1 AM THE LEGAL OWNE F THE ABOVE -
DESCRIBED RESIDE TIA PR ERTY. POWER y v A •.-
SIGNATURE (� UTILITY CO.NOTIFIED
OF PERMITT /
FINAL • Z•l./�r1...//Lf,.l ..JLJ
(DATION IURC. VEIT
.
MO CASH ELECTRICAL
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SUPERVISING ELECTRICAL ENGINEER
CK
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A:02338 NOV 7 2 D 9.14