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76AG63-CEBOS-9-57 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 9815 ; Garibaldi
BUILDING AND SAFETY DIVISION ADDRESS 4
JOHN A.LAMBIE,COUNTY ENGINEER
PTemple City
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY 1 V y
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES OWNER HOW
ITEM NUMBER EACH FEE d
MAIL
GHTSard A. RqAf
OUTLET�0 RECEPT.1 SW. $ .10 A'DDRESS81 E. Garibaldi
LIGHTING FIXTURES I Ck .10 1 CITY Temple City TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIA
WATER HEATERS .50 ADDRESS o6O$ E. ARTESIA BLVD,
ELEC.SPACE HTRS. DISHWASHERS V9�
CITY RELLFLOk& LIF.
GARBAGE DISPOSERS AUTO.-
WASHERS STA.COOKING UNITS .2rj STATE (7 f
LICENSE NO.
MOTORS: OVER INC. H.P.
DISTRICT NO. GROUP ZONE READY FOR INSPECTION
O — I/2 .25
1/2 — 2 .50
INSPECTION RECORD
2 — 5 1.00
5 — 15 1.50
15 — 50 2.50
so— 200 5.00 �' 2
SIGNS: NO.TRANS.
NO.LAMPS
L
SERVICE 0-600V 1.00 00
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00 1• 00 rr
FIXTURE PERMIT 1.00 '
SUPPLEMENTARY PERMIT .50'
TOTAL FEE $ 7. 30 APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TOp•,,��p�MPLY CONDUIT -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGUL'11TING r
ELECTRICAL WIRING. WIRING 4Z"'Z./ t-,P' �r"^'.�A
I HEREBY CERTIFY THAT I M PROPERLY REG4$TERED AND/OR
LICENSED AS REQUIRED BY C, rOF
AND STATE OF FIXTURES -
CALIFORNIA OR THAT I /�I THE ABOVE POWER
DESCRIBED RESIDENTIAL PR E� UTILITY CO.NOTIFIED
SIGNATURE '„g o t -..n,r�;;f
OF PERMITTE FINAL 5" '
LIDATION ARTHUR C.VEIT.
VA
CK D CASH SUPERVISING ELECTRICAL ENGINEER
' ICO2098N MAR 18 2 A 7.30