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76A663-CE806 9-64 APPLICATION FOR ELECTRICAL
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FAD.
NG
BUILDING AND SAFETY DIVISION SSJOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT. OF BUILDING ITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPNO. EACH _ FEE
LIGHT /. OUTLETS FIRST 20 $20 $ OWNER
LIGHT MAIL
ADD'L .t0 ADDRESS
SWITCH. OVER 20
TEL. O
LIGHTING TOTAL F1Rsr20 CITY.20 -
FIXTURES ADD'L 10 ELECTRIC AN
OV�R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS g _-. 1,
GARB.DISP. BTA.COOK CIT TEL.NO. - �6/
DISHWASH. AUTO.-WASH. STA E
SPACE HTRS. STA.APP.('/i H.P.MAX.) .50 LICENSE N
MOTORS. OVER NOT OVER H.P. DISTRIC R2MPj Z NE POC SE BY
O t 1.00
t s 1.50 'INSPECTION RECORD
s 82.00 a
8 is 2.50 -v! , VO
15 50 8.00
s0 too 5.00
NO.TRAN8 UJ
SIGNS, NO.LAMPS N
Z
SERVICE 0.60OV-NOT OVER 200A 1.00
SERVICE 0.600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
LBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS GATE INBPECTOR'S DIGNATURE
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
LL COUNTY ORDINANCES AND STATE LAWS REGULATINGCAL WIRING. WIRING
EBY .CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
D AS REQUIRED BYLOS ANGELES COUNTY AND STATE OFNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TIN, THE ABOVED RIBED RESI EN L PROPERTY. POWERURE UTILITY CO.NOTIFIED
MITTEE FINAL
,�I JOSEPH C. ROOHAN
CK/J MOO CAS CASH SUPERVISING ELECTRICAL ENGINEER
6 7 1 2JAN 16 D 3.00-
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D8S-5A 12-54 APPLICATION FOR ELECTRIC PERMIT ],
DBS•SA
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING �� `
WM. J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN LOCALITY
PERMIT FEES NEAREST
CROSS ST.
FEE
NUMBER EACH
LIGHT OUTLETS / _ OWNER 1
RECEPTACLES ) 'p MAIL
--'�C7r- ADDRESS w
WALL SWITCHES _V 0
TOTAL OUTLETS 5E S CITY TEL. NO.44
..�
ELEC. RANGES 25 ELECTRICIAN 4
ELEC. HEATERS 1-25 ADDRESS /
KW EA CITY TEL. NO.��
FIXTURES 5 LICE SE NO. //
NUMBER OF LIGHT CIRCUITS 1./
DISTRICT NO. GROUP ZON; READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS � �^A/w JTZ
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECOR
NEW MVD. IFA
OVER INC EACH -1 PAO do / l ,✓1 47600
1�2 @ LESS $ .25
2 _50 Az, / C
2 5 1.00 JAW! "r _ y
5 15 1.50 _ �I/e h If �
15 50 2.50 -
50 200 5.00
misc.
l
NO. SIGNS NO. TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00 /
_FIXTURES $1_00
SUPPLEMENTARY .50
APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -----"- _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
1 HEREBY CERT HAT 1 AM PROPERLY REGISTERED AND/OR
FIXTURES O'
LICENSED AS P.E IRE BY -ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT;I E LEGAL 0 NER OF THE ABOVE - '
DESCRIBED REST ENTI/fL RTY. fi UTILITY CO.NOTIFIED
SIGNATURE -- /r
OF PERMIT FINAL. L,p D'
WILLIAM J FO COUNTY ENGINEER VAL]M31C�3 2uun mAR 14 2 65 0
BY
D PITY
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of Engineer ELECTRIC i
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE cPERMIT /NO.
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADDRESS a,3,3k I FIRST INSPECTION
CITY �( TEL O.
COUNTY LICENSE NO. `7e0 (i/ EXPIRES BUILDING IF. /1/
PERMIT FEES ADDRESS Q
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROBB ST.
WALL SWITCHES OWNER _
TOTAL OUTLETS SO 9 ADDMAILRESS
ELEC. RANGES 25
ELEC. HEATERS 26 CITY' EL. NO.
FIXTURES B
I HEREBY ACKNOWLEDGE, THAT 1 HAVE READ THIS
MIBC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEw MVD. HP OVER INC. EACH OF THE REBID EN L PRORTY DE/S•C �ASOVE.
!/2 6 IEBB $ .25 SIGNATURE OF
%2 2 .50 PERMITTEE
2 5 1.00 SPECTION RECORD
5 15 1.50
T5 50 2.50
50 200 5.00
2130, - 500 10.00 _1
500 1000 15.00 Z
OVER 10013 20.00
_ MOVED MOTORS (75% OF CRIB.)
M.G. BET/FREQ. CHANGER-HP O
WELDERS:AC-KVA
GENERATORS - KW
TRANSFORMERS - KVA
MIS .
.�
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
DATE / INSPECTORS N
FOR EACH PERMIT: E
WIRING- $1.00 CONDUIT
WIXTURES _ 91.00 WIRING
1111UPPLEMENTARY .50 FIXTURES -1711
POWER
TOTAL FEE Ig UTILITY CO.NOTIFIED
_ FINAL
76A663 DBS#SA O b 1 2.53
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