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7GA663-CE60610-59 APPLICATION FOR ELECT C 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
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
OWNER ,4 JS 0 v
t T E M NUMBER EACH FEE MAIL
OUTLETS: $ ADDRESS
LIGHTS RECEPTaDSW. .10
LIGHTING FIXTURES 10 J (�, CITY tT-EJL.NO.
c /
ELEC.RANGES / CLO.DRYERS ELECTRICIAN �'/ 1 C G ,-,*v
WATER HEATERS .50 J `/ ADDRESS h p /s (y
ELEC.SPACE HTRS 7DISHWASHERS CITY h S, TIL NO d 1J
GARBAGE DISPOSERS I AUTO- STATE
WASHERS STA COOKING UNITS .25 �� LICENSE NO.
t
MOTORS' OVER INC. H P DIST$.ICT O. GROUP ZONE P Y
O- 1/2 // .25 S —/�►
1/2- 2 50 INSPECTION RECORD
2— 5 1.00
S— 15 150
is— 50 250
50-200 500
SIGNS: NO TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 500
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL,FEE_ 3 o
IHEREBY 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 AW "-A,
ELECTRICAL WIRING. WIRING q H AJ
I
HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR �tov
LICENSED AS REQUIREDBY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1.AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIACFROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED A
OF PERMITTE –
FINA - AA' 1.1 INL LAIL4
®a CASH
ARTHUR C.VEIT.
cK Mo SUPERVISING ELECTRICAL ENGINEER
LA(. 9 8 5 6110 �t . 11 0 1 0.5 0 �;