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7e„ees-=808 3-80 APPLICATION FO R' ELECT IC P E R M I �.
COUNTY OF LOS ANGELES w
DEPARTMENT OF COUNTY ENGINEER BUILDING C 2��
BUILDING AND SAFETY DIVISION ADDRESS S e/
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY f
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
-A AgaM NUMBER EACH FEE OWNER
OUTLETS' - 1 J $ $
MAIL
/
L�' (' p� ADDRESS Lam'
LIGHTS RECEPT .1O (,/
:CITY TEL. O.
LIGHTING FIXTURES 10 s
ELEC.RANGES CLO.DRYERS ELECTRI - AN
1
TER HEATERS .SO ADDR
ELEC.SPACE HTRS. SHWASHERS CI TEL. NO. O
GARBAGE DISPOSBRB to AUTO.- STATE
WASHERS STA COOKING UNITS .25 O-U LICENSE NO./IV /
MOTORS: OVER INC H P. DIS T N�. GROU I ZONE P C I,D BY
0— I/2 .25
P ,
1/a 2 .50 INSPECTION RECORD
2— S 1.00
5— 15 ISO
15— 50 250
50-200 500
NO TRANS.
SIGNS: NO.LAMPS
SERVICE 0-600N 100 !� 5�-�, D P,,
SERVICE OVER GOON Boo � V
MISC. a
' /!,�,C-405
G� ���iEOP2itQVL�
WIRING PERMIT 1.00 p !`C-40 9S' 'rO/` ffO `•
e FIXTURE PERMIT too r 'Og
SUPPLEMENTARY PERMIT .50
TOTAL FEE $
R 9
1H
ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION v 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. ✓ ��
1 HEREBY CERTIFY THAT I AM I-ROPERLY •REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES Z�
CALIFORNIA OR THq, L.fr _THE LEGAk OWNER OF THE ABOVE
DESCRIBED R.SIIDENT P T POWER
SIGNATURE \ , UTILITY CO NOTIFIED •tpa
OF PERMITTE
FINA
®a �ATION ARTHUR C VETT,
CASH
SUPERVISING ELECTRICAL ENGINEER
I1044 ` 0n ItiU) 4 2 D .3` 9.611 r
76A668_CE6aQ10.5" APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
.JOHN A. L.AMBIE. COUNTY ENGINEER
WILLIAM A JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
ITEM NUMBER OWNER EACH FEE MAIL
kyu
OUTLETS: $ $ ADDRESS
LIGHTS RECEPT. W. .10
LIGHTING FIXTURES 10 CITY _rII ) TEL O
ELEC.RANGES CLO DRYERS ELECTRICIAN/ – 4
WATER HEATERS .50 ADDR ( /
ELEC SPACE HTRS DISHWASHERS 2 d
ClT TEL NO �J
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA COOKING UNITS .25 LICENSE NO. O S
MOTORS* OVER INC. H P DISTRICT NO. GROUP ZONE P ESSED BY
0— 1/2 .25 I
Ii2- 2 .50 INSP CTION RECORD
2— 5 100
5— 15 ISO
15— 50 250
50-200 500
SIGNS' NO TRANS
NO LAMPS
SERVICE 0-600V loo
SERVICE OVER 600V 500 �-
M1SC
vi I IF
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE S
IH
EREBY ACKNOWLEDGE THAT I 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 �_( }�/ � )�� All
ELECTRICAL WIRING. WIRING
or-
I
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THATI LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDEN RO TY POWER
SIGNATURE,' / UTILITYCO NOTIFIED
OF PERMITTEE
FINAL "v v C./i'j fvvwr�
OF VALIDAI= ARTHUR C VETT,
CK Mo ca SUPERVISING ELECTRICAL ENGINEER
LAC0 3 63 0 JUL 14 2 0 2.2 0