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APPLICATION FOR ELECTRICAL PERMIT LLL...111
COUNTY OF LOS /ANGELES
G DEPARMENT OF COUNTY ENGINEERfADDRE
BUILDING AND SAFETY DIVISION W
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING C
FOR APPLICANT TO FILL IN T
PERMIT FEES 1 T E M NUMBER EACH FEEOUTLETS $LIGHTS RECEPT: SW. .10 TEL. NO.
LIGHTING FIXTURES
10
ELEC. RANGES CLO. DRYERS ELECTRICIAN
WATER HEATERS .SO ADDRESS
ELEC.SPACE HTRS<ZWASHERS `/
CITY yI(rJ/ TEL NO
GARBAGE DISPOSERS AUTO.- $TATE S
WASHERS STA COOKING UNITS •25 LICENSE NO.
MOTORS OVER INC HP. DISTRLQT N GR UP ZQNE P OC SLED BY
O— 1/22 S
1/2— 2 ,so INSPECTION R ORD
2— 5 1.00 �
5— 15 150 u
15— SO 2.50 IN
G
SO— 200 500 U
W
SIGNS NO TRANS N
NO.LAMPS z
SERVICE 0-600V 100
SERVICE OVER 600V 500
misc.
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMI 50
'TOTAL FEE S" ( $
I HEREBY ACKNOWLEDGE TH T / HAVE READ THIS APPLICATION 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 CER THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS Q RED BY LOS ANGELS COUNTY AND STATE OF FIXTURES
CALIFORNIA O TH T I -AM THE LEGA OWNER OF THE ABOVE
DESCRIBED RES E IAL OPE RTV. _ POWER \
SIGNATURE UTILITY CO NOTIFIED y p
OF PERMITT FINAL 4N�\ �''✓�> ''-�
/VNIDAT16N ARTNHUR C. VEIT'
CK. MO CASH SUPERVISING ELECTRICAL ENGINEER
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I6A689_CESDB10_80 APPLICATION FOR ELECTRICAL PERMIT � ..
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER , BUILDING
BUILDING AND SAFETY DIVISION ADDRESS ;z-7- --' ���e&-- f T
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUP'T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN cRoss sr
PERMIT FEES OWNER
I T E M UM SERI EACH FEEMAIL
OUTL ADDRESS
$ $ ,
LIGHT RECEP SW 10 •v CITY TEL NO.
LIGHTI G FIXTURES - GTAX
ELEC. RANGES CLO. DRYERS 10 ELECTRICIAN `+ e er e
WATER HEATERS 50 ADDRESS
ELEC SPACE HTRS DISHWASHERS - CITY Duarte III ' TEL NOEL 82162
ARSAGE DISPOSERS AUTO- STATE 151751
STA COOKING UNITS 2S LICENSE NO .s r
MOTORS. OVER INC H P. DIST- IC NO. GROUP ZONE I P CESSED BY
ll;r
0- 1/2 .25
1/2— 2 ,50 INSPECTION RECORD
2— 5 loo-
5—
oo5— 15 1.50 Y7 0
1S— 50 2.50
11.9 7 _ .�
so— zoo 5.00 o J '�
SIGNS: NO TRANS. t llv �_. - ✓
NO.LAMPS a'
SERVICE 0-600V loo z
SERVICE OVER 600V 5.00
misc.
WIRING PERMIT 100
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT '50
TOTAL FEE
IH
ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY /
WITH ALLCOUNTY ORDINANCES ,AND STATE` WS REGULATING CONDUIT
ELECTRICAL WIRING.
I HEREBY CE FY THAT I AM PROPERLY GISTERED AND/OR WIRING
LICENSED AS EQUI ED BY LOS ANGELES NTY ND STATE OF FIXTURES
CALIFORNIA TH 1 THE LEGAL ER F THE O E
DESCRIBED RE EN AL PERTY POWER
SIGNATUREJAZZ 1 UTILITY CO.NOTIFIED /1 ,�l ,wAl�J
OF PERMITTE
FINAL
LIDATION ARTHUR C. VEIT _
/(r-_K MO CASH SUPERVISING ELECTRICAL'ENGINEER
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