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76A669-CE6064-60 APPLICATION FOR ELECTRICAL PERMIT 'I
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE, COUNTY ENGINEER v
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY AC.�
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
PERMIT FEES OWNER . —/ �.'S c,
-I T E M NUMBER EACH FEE MAIL
OUTLETS. / $ $ ADDRESS
LIGHTS/ RECEP W.
.10
LIGHTING IXTURES / 10 yC CITY TEL.
LEC:RANGES O. RYERS ELECTRICIAN CJI
�j
W A T E R HEATERS .50 ADDRESS
-LEC.SPACE HTRS. DISHWASHERS CITY - TEL.NO. "w -
GARBAGE DISPOSERS AUTO.- STATE / `/
LICENSE NO. / �T G
WASHERS STA. COOKING UNITS .25
MOTORS: ovER INc. H.P. JJ- DISTRICT NC/O. GROUP ZO E PRO SED BY
O 1/2 3 J .25 VG- Ji d �y L �
1/2 - 2 .50 INSPECTION RECORD
2 5 1.00 ` 0-
0 O
5 15 1.50 1 6 P U
15 — 50 2.50 / O
H
50 200 5.00 W
NO TRANS. C'
SIGNS: ,`� Q• J N
NO. LAMPS Z
SERVICE 0.600V 1.00 o r
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 Cr
FIXTURE PERMIT 1.00 e)
SUPPLEMENTARY PERMIT .50
TOTAL FEE $b G
1 HEREBY ACKNOWLEDGE THAT I 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
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT PR PERTY. POWER
SIGNATURE (� UTILITY CO. NOTIFIED
OF PERMITTEE
FINAL
VALIDATION ARTHUR C.VEIT.
SUPERVISING ELECTRICAL ENGINEER
MO CASH
I