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i'°"'°'-CX°°°'° APPLICATION FOR ELECTRICAL PERMI
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRE98
JOHN A. LAMBIE, CouNTY ENa1NE¢R
WILLIAM A.JENBEN,SUPT OR BUILDING LOCALITY 4
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES OWNER
1 T E Y HUMMER EACH I FEE MAIL
OUT s ; ADDRESS
UGHTB RECElrT -. 17 .10 CT! TEL NO
LIGHTING FIXTURES .10
Y 170
"r- DRYERS ELECTRICIAN
En HEATER• .150 ADDRESS y
G SPACE DUHWASHERB
CIT TEL N114r- ell
AOE DI wvro.- BTATH
WASHERS STA.COOIanG UNITS Yp L1C8NHE NO.
MOTORS. ovER INc. H-L. DISTRICT O P Z P
0— K 2D
2 .DO INSPECTION RD
2— 15 1.00 >-
n.
D— to Lao
Is— 150 2.150
OL
150— 200 15.00 O
HIGxaI NO TRAIsM
NO.L-&Jd"
BERVICE 0-800V 1,00
SERVICE OVER 800V MOO
Y ESC.
WIRING PERMIT 1.00 `
F IXTU RE PERM IT 1.00
SUPPLEMENTARY PERMIT -50
TOTAL FEE i d
1 HXREBm
FY ACI(NOWLOE THAT I HAVE READ THIS LI
APPCATION PROVALS DATE INlU"LTOR'■MIOHATURE
AND STATE THAT THE ABOVE 10 CORRECT AMI AGREE TO COHPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HERESY CXKT]FrY THAT 1 Ail PROPERLY REOLSTERIm AND/OR
.EKBED M REQUIRED BY LAS ANGELS COUNTY AND STATE OF FIXTURES
CALIFOILN IA OR THAT 1 THE LE 1�
OWl OP THE ABOVE
DEBCRIB® RISID ` POWER
Ay
SIGNATURE 1 � UTILITY CO.NOTIFIED
OF PERMI FINAL
IDAnON ARTHUR C.
pc No C--.WI SUPERVISING ELECTRICAL ENGINEEIS
�a�2 2 2 2 -0 SEP 5 2 D 1 12 0