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7BA663-CE806 9-64 APPLICATION FOR ELECTRICL PERMIT
' COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING '
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER ` //�
COLEMAN W. JENKINS, SUP'T. OF BUILDING LOCALITY h ,2
zd
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. /^ of& se
TOTAL NO. EACH FEE
REC EP T. OUT ETTS FIRST 2O 0'1� .2O $ OWNER
LIGHT MAIL
.+E/ ADD'L d/Z'{/ ADDRESS b�
SWITCH. f d OVER 2O 63 .10 . � --
LIGHTING TOTAL I IFI 201.20 .20 4-0 CITY TEL.NO.
FIXTURES _ ADD'L ELECTRICIAN / C
-I OVER 20 .10 �0
RANGES ,CLO.DRYERS WTR.HTR.. 1.00 JfV 'ADDRESS
GARB.DISP. STA.COOK / a- 7�
/ CITY TEL. NO.G%
DISHWASH. / AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(+/s H.P.MAX.) .50 D LICENSE NO.
1-23 1
MOTORS: OVER NOT OVER H.P. DIS I G P Z P E D B
O 1 1.00Ljr
1 3 3 1.50 O INSPECTION RECO
3 8 2.00
8 15 2.50 3� V
15 50 3.00 cid
O
50 100 5.00 V
W
SIGNS: NO.TRANS
NO.LAMPS N
Z
SERVICE 0.60OV-NoT OVER 200A 1.00
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISE.
PERMIT ISSUING FEE 2.00 ov
SUPPLEMENTAPY PERMIT ISSUING FEE 1.00
TOTAL FEE 6 D�
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INS '
CT S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CWIRING WITH ALL COUNTY ORDINANCES STATE LAWS REGULATING
ELECTRICAL WIRING. .�
I HEREBY .CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I THE LEGAL OWN OF, INTEND TO
RESIDE IN, THE ABO SCRIBED RESIDE PR Tr. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMI
FINAL
LIDATION JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
C' )L
)MO CASH
A-00 1 9 71 PAR 3 2 D 2 2.8 0-