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76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES'
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY
f NEAREST
FOR APPLICANT TO FILL IN CROSS ST. i
RECEPT TOTAL NO EACH FEE
LIGHT ER en
OUTLETS FIRST 20 $.20 $ MAIL MAIL
AOD'L UG/ ADDRESS
SWITCH �I OVER 20 10
LIGHTING
�/ F1Rsr 20 .20
TOTAL O CITY TEL. NO. 19
FIXTURES DA DR 20 .10 I ELECTRICIAN
RANGES CLO DRYERS WTR HTRS 1.00 ADDRESS
GARB.DISP STA COOK
CITY TEL NO I 6/
DISH WASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(yz H.P.MAX I .SO LICENSE NO
2
MOTORS OVER NOT OVER H P. DISTgLCT NO. G P Z PR SED BY
O 1 1.00
1 3 15o INSPECTION RECORD
3 S 2 00
8 15 2.50 '
15 50 300
O_
50 100 500 0
SIGNS NO TRANS ix
NO LAMPS O
H
SERVICE 0.60OV-NOT OVER 200A 1.00 w
a
SERVICE 0-60OV-OVER 200 A. 2.00 Z
SERVICE OVER 600V 5.00 —
MISC.
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 _
TOTAL-FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLIkATION 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABO E -/ •v r
DESCRIBED RESIDENTIAL P OP RTY. POWER
SIGNATURE UTILITY CO.NOTIFIED l
OF PERMITTEE FINAL n �i7 \
VALIDATIO ARTHUR C. VETT v v
CK MO CASH
SUPERVISING ELECTRICAL ENGINEER
LIAEG a.4 9APR 2 0 2-D 7.6 0-
p Le-- , LI-t-/
76"663-C - �—,��/APPLICATION FO ELECTRICAL PERMIT L1
r:JUNTY OF LOS ANGELES
TMENT OF COUNTY ENGINEER BUILDING /AJ
V/DMUILDING AND SAFETY DIVISION ADDRESS Cl
LOCALITY
.../// NEAREST �y yy
FOR APPLICANT TO'FILL IN CROSS ST. a
OUTLETS NO EACH FEE
OWNERr-
RECEPT_ $ $ MAIL c`
FIRST 20 ADDRESS— CTI/../_�� h w
LIGHT TOTAL 25 CITY /ejZ/ U,,/ TEL. N0.
SWITCH OVER 20 1p
87
PLAN CHECK
LIGHTING TOTAL
FIRST 20 25 APPLICANT
FIXTURES
OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT u,
RANGE DRYER_WTR HTR. APPLICANT y
STA COOK DISP. F.A.0 ADDRESS
SPACE HTR. AIR COND. CITY TEL NO.
CLOTHES WASH DISHWASH LICENSE NO. CLASS.
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETC HP KW KA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT I AM HE LEGAL OWNER OF, AND INTEND TO
'/ ,�� • 1 - 10 300 Q 1; RESIDE IN, THE ABOV DESCRIBED RESIDENTIAL PROPERTY 0
10 — 50 500 V SIGNATURE
OF PERMITTEE O
50 - 100 1000 rj
DISTRI T NO. ICLASS ZONE
100 - 500 1500 1 - 17
t IY
N
Z
SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICE NOTOVER 600 VOLTS OR 200 AMP 300
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR 200AMP 1000
� TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 500
1 UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 300
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED �-
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
CIO
FINAL ��—4-7�
PERMIT ISSUING FEE 300 1/V
TOTAL FEE /
r PLAN CHECK VALIDATION cK M 0 CASH PERMIT VALIDATION CK M o SCA �
.aoNS0 1 5,r-13 SEP 15 2 A 6.00-
SEE
EE BACK OF APPLICATION FOR COMPLETE SCHEDULE ,
7GA669-CESOG-11-105APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DMSION ADDRESS
JrO�HN A-LAMEIE, Co1mt�.Ea ees
CRSSAPf IS. GEIFFIIi.Supt oldldi>:Q LOCALITY C
NEAREST.
FOR APPLICANT TO FILL IN CROSS ST
PERM FEES
ITEM NUMBER EACH FEE OWNER. GG.,
FELEC.
ETS: S - $ MAIL
S RECEPT. SW 10 ADDRESS
TING FIXTURES .10 CITY TEL NO
RANGES / CLO DRYERS ELECTRICIAN �� C
WATER HEATERb 50 ADDRESS-2/-2 '
ELEC.SPACE HTRS DISHWASHERS
GARBAGE DISPOSERS AUTO- + CITY Q TEL.NO AT
WASHERS STA.COOKING UNITS ,25 STATE
LICENSE NO 1292-3-)4
MOTORS: OVER INC. H P.
0 — 1/z 25 DISTR READY FOR'INBP6CTION
J
l.
1/2 — 2 50
INSPECTION RECORD.
2 — 5 100
5 — 15 ISO
15 — 50 250
SO— 200 Soo
SIGNS NO TRANS
NO LAMPS
EXis r
} SERVICE 0-600V NC 1 00
SERVICE OVER 600V 500 ,•
MISC
WIRING PERMIT 1 00
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE s 2 o APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
_ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL P ERTY. y -
SIGNATURE e UTILITY CO NOTIFIED
OF PERMITTE FINAL ..i v�IC...���-
DATION ARTHUR C.VETT,
MO CASH SUPERVISING ELECT L !LEER
1,111,f-'6-0.3 o 2