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76Aea9_CE8oe_11_ftAPPLICATION FOR ELECTRIC PtRMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING Golden WeA,
BUILDING AND SAFETY DIVISION ADDRESS
IOHN A• LAMBIR. Couaty Bu�n eer
cA33ATT D. GRUTM,sort o,BUgU LOCALITY PLE CITY
NEAREST
FOR APPLICANT TO FILL IN CROs
PERM FEES"
ITEM NUMBER EACH FEE OWNER EDWARD HEIENRICH
MAIL
LIGHTSOUTLE $ORECEPT.17 Sw 6 33 $ .10 3 0 30 ADDRESS 16 0 Golden West
LIGHTS ..LLIIJJ
LIGHTING FIXTURES 10 .10 1 CITY Temple 1ty TEL NO
ELEC RANGES CLO DRYERS" .r - ELECTRICIAN
WATER HEATERS 50 ADDRE SC�•i ; G
ELEC SPACE HTRS. DISHWASHERS
GARBAGE DISPOSERS AUTO- CITY •E. �,R7ESIA NO
WASHERS STA.COOKING UNITS25 LICENSE NO ATE ♦ L�1.0 0 11$
'
MOTORS. OVER INC H P
o — +/2 25 DISTRI GR READY FOR INSPECTION
1/2 — 2 50'
/ I
2 — 5 log INSPECTION RECORD
5 — 15 150
15 — 50 250
50— 200 1 Soo
SIGNS. NO TRANS
NO.LAMPS
SERVICE 0-600V 100 1 00
SERVICE OVER 600V - 500
MISC
WIRING PERMIT 1.00 1 s' 00
FIXTURE PERMIT { 1.00 1 0 00
SUPPLEMENTARY PERMIT 50
TOTAL FEE 7. 30 APPROVALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE �y 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 ,{
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES lS CP,.OfN
LICENSED AS REQUIRED B OS �AT
E OF
CALIFORNIA SI THAT T E. ABOVE POWER
DESCRIBED RESIDENTIAL P P
SIGNATURE �' UTILITY CO NOTIFIED �y ' aty,412
OF PERMIT' E C•_/S,�o� ��/
IN FINAL o p
ATION ARTHUR C. EIT.
CV MO CASH SUPERVISING F-LECTRICAL ENGINEM
t I
.2 9 8°� .tt�t 2 2 `�` 7.3'0