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76A683-CE806 ,D-62 APPLICATION F R ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS !
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUP'T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $.20 $ OWNER
LIGHT
MAIL
ADD'L ADDRESS
SWITCH. s'
` OVER 2O .1O
CITY TEL. NO.
LIGHTING `TOTAL FIRST 20 .20
FIXTURES
I
OVER 20 •10 ELECTRICIAN
1LYNGES CLO.DRYERS WTR.HTRS. 1.00 TADDRESS
GARB.DISP. STA.COOK
TEL. NODISHWASH. AUTO.-WASH.SPACE HTRS. STA.APP.(yz H.P.MAX.) .50 SE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GR 11P XNE PR CESSED BY
O 1 1.00
+ 3 1.50 INSPECTION RECORD
--
3 8 2.00 ��'. D'
8 15 2.50
15 50 3.00
50 100 5.00
SIGNS: NO.TRANS. ,(( w
NO.LAMPS r"',7 / �' �- _ 2'
SERVICE 0.60OV-NOT OVER 200A 1.00 -I ,✓`�'f
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
. SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI ATION 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
Y --
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 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
DESCRIBED RESIDENTIAJL/ ERTY POWER
4 s+
SIGNATURE - UTILITY CO.NOTIFIED �:'_ .:te. "'
OF PERMITTEE._._ ' -
FINAL
IDATION ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
V
78A063{156912-0E APPLICATION FOR ELECTRI PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER CUILDINa
BUILDING AND SAFETY DIVISION ADD (� .2 GRpNZ)
JOHN A. LAMBIE', COUNTY ENGINEER i+
COLEMAN W. JL-NKINS, SuPZRIIirKND[NT Or BUILDING, LOCALITY '
N EAR RlT"MCANT TO FILL R�
CRC iT. t7/�TE
RECE-T, 1 TOTAL NO. -
JI} OUTL[Tf RIR1T 20 [.A.� s OWNER
LIGHT MAIL
(WITCHADD'L .10 O ADDIlE1S 2 f— V
TOTAL OV BR 2
Q -tkq .20 p CITY �TNo O d
LIGHTING FIXTURES FI RfT 2
FIXTVREX AOD'L 10 CO TOR (/G 1/d cv/v i'7`
OVER 20
RANCM DR130m WTR.HTRS. 1.00 ADDRMS .Z 12- E V19l,4 F Y, 10.1,JV"
%AJHL olSr• SIA COOK CITY Gq R/Q Z. Ta NO. O //cd
DIltWXMH. ALMO.-WAai. [TATE
(PACE HTRS. GTA. APDL. .60 LICENBE NO. C� G
-MOTORG, ova NOT OVER H,P. DI P P E
O I 1.00
1 T 0 1.60 INSPECTION R ORD O
1 6 2.00 U
oc
6 16 1.60 O
16 60 3.00 �l
a
60 100 6.00
•IGIi�1 NO.TRANAL
NO,LA 4"
SERVIG[0.600V.NOT ova20OA 1.00
iQiVICZ 0.600Y4Ovm 2,00 A. 2.00
NICE OVER 6006 6.00
OTHER (SIE coyIPLETE FII sCR=pu L[)
PERMIT 1"UINQ FIE 1.00
SOPPLZMENTARY M"IT IMUING FIE 1.00 aATI
TOTAL PEE (3
IHEREBY ACK#dOWL[DOi THAT I HAVE READ THIS APPLICATION UNDERSLAC WORK
AN 15 STATE THAT THE ASOVI IG COR11I1rT AND AGl[IE TO COMPLY ROUGH CONDUIT
WITH AUL COUNTY ORDINANCES ANP STATE LAWS kIGULATINO
ELECTRICAL.WIRING. WIRING
I HERESY CERTIFY THAT I AY PROPERLY REGISTERED ANA/QR FQTURM
LI CENSID AS REQUIRED MY LOS ANUKL II COUNTY AND STATE OF
CALIFORNIA OR THAT 1 S LEGAL OWNER AN INTEND TOrOvv
RESIDE-IN.THE IGID RESI DIN
'61GINATUI2[ ° UTILITY CO FI
OM PERM],
FINAL
JOSEP
OHAN
I O CA SUPWR C. G EL.RC
CK 1f0 CA" SUPBIN11INa EliCTRICAL E1'14INmR
uw
6 7 7.*% JO I& 2D 15,30- 9
J
76AW3-CEBUL 10/_n T
APPLICATIO OR ELRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 10-701 NA4t�n�,4
LOCALITY
!4NEAREST
POR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO, I FEE OWNER OR
Is FIRM NAME
RECEPT._ MAI L
LIGHT TOTAL
FIRST 20 ADDRESS
CITY TEL. N0.
SWITCH OVER 20 .10
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES •ip
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS Q Q
SPACE HTR, AIR COND. CITYTEL. NO. 2 Q d
CLOTHES WASH. DISHWA9H.--[- MBRJR o1 ` CLASS.
FAN OTHER 1.00 /h/\ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IJQ AKD /TAT[ THAT THE ABOVE 1/ CORRECT AND A/R[[ TO COMPLY
MOTOR/ TRAiI/FORMERS RATIN/ WITH ALL COUNTY ORDINANCES AND STATE LAW/ REGULATING
IND. Hb.TERB, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE TYPE OVER TO
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMD/D11
0 - I 1.00 LIC ENot D AS REOU IRED By LOS ANGELES COUNTY AND STATE OF
CALIF 0RNLA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
1 - 10 3.00 DESCRIBED RESIDENTIAL Pj�RTY.
1
PERMITEE
10 - SO 8-00 SIGNATURE O
b0 - 100 10.00 DISTRICT NO, OCE9 ED BY
100 - 800 1eA0
SIGN, GAS SIGN AND ONE CIRCUIT &00 APPROVALS 'J DATE U�ECTOR'E TU1E
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS IAO TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200Amp 3.00 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE, R APPURTENANCES &DO WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO, NOTIFIED
FINAL 00,
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE 0
PERMIT ISSUING FEE 3.00 Co
TOTAL FEE mmmm"DD V
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VA IDATION CK. M.O. CASH
1 3 �lltl; 1-:IP G 4.0 u
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE