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76A663-CES0610-61 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRES
BUILDING AND SAFETY DIVISION Q ��
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING FOR APPLICANT TO FILL IN .
1 T E M NO. I EACH FEE
OUTLETS: (FIRST 20) $20 $
LIGHTS RECEPT. SW. MAIL
OUTLETS: (ADD'L UNITS) .1D ADDRESS
LIGHTS RECEPT. SW.
LIGHTING FIXTURES: (FIRST 20) 20 CITY TEL. NO
LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN _
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK CITY_ TEL. NO.
DI.^H)MASH. AUTO.-WASH. STATE
ALICENSE NO.
SPACE HTRS. STA. PP.(yz H.P.MAX.) .50
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GRQ-UP NE P ESSED BY
0 1 1.00 6 d
1 3 1.50 INSPECTION RECORD
3 8 2.00 D'
'' p
8 15 2.50 - - u
15 5o 3.00 O
H
50 too 5.00 U
W
- C
SIGNS: NO.TRANS. U)
NO.LAMPS -{ Z
.5
SERVICE 0.60OV-NOT OVER 200A 1.00 ' L
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC. --
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 11.001
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I 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
1 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 ABOVE IN
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERM ITT ^-�
FINAL
VALIDATIO ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
3 4 2 1:o AUG 2 3 2 D 4.5 0 N
76A663-CE80612-65 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 4
BUILDING AND SAFETY DIVISION ADDRESS �� b a o% Al Oes T
JOHN A. LAMBIE, COUNTY ENGINEER /� %�•
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY /
NEAREST `/
FOR APPLICANT TO FILL IN CROSS ST. Q el�� /)c
RECEPT, TOTAL
NO. EACH FEE ` ,
OUTLETS , $ $ OWNER D V � 7�
LIGHTc ff I I FIRST 20 r'S .20
SWITCH 5 MAIL
ADD'L 10 ^ ADDRESS (6O�oL N. O d� u� es
OVER 20L ` / Q
TOTAL FIRST 20 .20 ' g0 CITY le �' iT TEL. NO. b
LIGHTING 1 FIXTURES '' /
FIXTURES 1 ADD'L 10 CONTRACTOR w C�I—
OVER 20
RANGES DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL. NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA. APPL. .50
LICENSE NO.
MOTORS, OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PROCESSED BY
O 1 1.00 CS ooL }
1 3 1.5o INSPECTION RECORD a
O
s S 2.00 u
m
B 15 ' 2.50 O
F-
15 50 300 U
W
a
50 100 5.00 N
Z
SIGNS: NO.TRANS _
NO.LAMPS
SERVICE 0-600V•NOT OVER 200A 1.00
SERVICE 0.60OV•OVER 200 A. 2.00
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE IN oR'8 BIGNATYR6
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA 11R TH T I AM THE LEGAL OWNER OF,AND INTEND TO POWER
RESIDE IN,THE AB E DE RIBED RE IDENTIAL P P
SIGNATURE UTILITY CO.NOTIFIED p
OF PERMITTEE FINAL llxk: f/'Z(!.
VALIDAT� JOSEPH C. G ELECTRICAL
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
� 034730 JUL 13 2 D 6.80N
76A663-CE806,8-62 APPLICATION FOR ELECTRICAL PERMIT ,
COUNTY OF LOS ANGELES -
DEPARTMENT OF COUNTY ENGINEER FNEAREST .
GAA
BUILDING AND SAFETY DIVISION �L
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING Y
o-nFOR APPLICANT TO FILL IN T (�
REC EP T. TOTAL NO. EACH FEE (� O V.
OUTLETS FIR57 20 OW
$ 20 $ /C� , NER (-rLwN"�. 4�I�VCYnA/-r�
kA
LIGHT 7 MAIL tt�_ (M!Alt,
ADD'L - 10ADDRESSp 2SWITCH. OVER 20 LIGHTING TOTAL FIRST-20 .20 CITY 74,.{1.+f.� TEL. NO.
FIXTURES 1 ADD'L 10 ELECTRICIAN
O V R 20 Q, /�,�
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS � m� � 0A t/�7 �]�1
GARB.DISP. STA.COOK CITY / 1 04.1` 9. ( �—� ( /'
IN +moi U(�1'L�� TEL. N
DISH WASH. AUTO.-WASH. STATE n �[�j �(9'/] /� � �D x
SPACE HTRS. STA.APP.(yn H.P.MAX.) .50
LICENSE NO. Z -r `Z1 t•'
MOTORS: OVER ''NOT OVER H.P. DIST CT 9. G Z E PROC BY
IO 1 1.00 VV
1 3 1.50 INSPECTION RECORD
3 s 2.00
8 15 7.50
15 50 . 3.00 >
D-
50 100 5.00 0
SIGNS: NO.TRANS-
NO.LAMPS O
H
SERVICE 0-60OV-NOT OVER 200A 1.00 Lu
SERVICE 0-60OV-OVER 200 A. 2:00 acA
Z
SERVICE OVER 600V 5.00 —
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTAPtY PERMIT ISSUING FEE 1.001 1
-
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT 1 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR -
LICENSED AS REQUIRED B CLOS NGELES 99UVTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM`T�LEGAL OW R OF THE 'ABOVE
DESCRIBED RESIDENTIA/L PROPERTY. POWER /J
SIGNATURE ( /}�i � 6J�1 UTILITY CO.NOTIFIED ` '�
OF PERMITTEE roc- .FINAL �A' 4� �'6 42..�is7�.CZ
VALIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
3-3:5..2� JUL 7 2 � 3.60-
JL
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