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APPLICATIO FOR ELECTRIC PERM 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ApUt sl�� ��� �
BUILDING AND SAFETY DIVISION ADDRESS -! �� /VII ^r
UGHN A. LAMBIE, COUNTY ENGINEER jry
CASSATT D. GRIFFIN,SUPT of BUILDING LOCALITY ���""f�af tj L)_- a S
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
ITEM NUMBER I EACH FEE OWNER • L
OUTLET$ $ MAIL
LIGHTS RECEPT. ; SW. .IO e ADDRESS
LIGHTING FIXTURES 3 10 CITY TEL.NO. -2 jF4
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS;✓DISHWASHERS C1T1' j TEL. NO.
GARBAGE DISPOSERS AUTO.- l STATE /® '���
WASHERS STA.COOKING UNITS J .25 �'D� LICENSE NO.
MO RS: OVER INC. H.P. DISTRICT NO (GROUP NE PR BY
0— 1/2 .25
1/2- 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 �!5
SUPPLEMENTARY PERMIT .50
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT( P PERTY. POWER <�
SIGNATURE UTILITYCO.NOTIFIED
OF PERM ITTE �®ck" Ff
m" FINAL Al
®Pf ION SU ERVISING ELECTRICAL ENGINEER
CK MO MO CASH
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