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76A663-CE8061-68 APPLICATION FOR ELECTRICAL PO IT ' COUNTY OF LOS ANGELES D*EPARTMEt4T OF COUNTY ENGINEER FBUDING BUILDING AND SAFETY DIVISION RESSJOHN A. LAMBIE, COUNTY ENGINEERCOLEMAN W. JEMKINS, SUPERINTENDENT OF BUILDINGALITYREST FOR APPLICANT TO FILL IN CROSS ST. I-t. NO. EACH FEE RECEPT.� $ $ OWNER v– MAIL LIGHTS T FIRST 20 _,24 .20 if 00ADDRESS SWITCH OVER 20 .10 7- 0 CITY e C /F TEL. NO. ZtSS".��J PLAN CHEifK LIGHTING TOTAL FIRST 20 .20 © APPLICANT FIXTURES '�L OVER 20 .10 ADDRESS RANGE—DRYER—WTR.HTR.— CITY TEL. NO. STA.COOK_DISP.—F.A.U.1 CONTRAC-TO SPACE HTR. AIR COND4E— ADDRESS v CLOTHES WASH._DISHWASH._ CITY • TEL. NO. FAN—OTHER 1.00 flCJ LICENSE NO. CLASS. MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO NO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY gtDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 /� 3.00 Q® LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 10 - 50 5.00 RESIDE IN, THE ABOVE DESCRIPED AE DE NT IAL PROPERTY. O 50 - 100 10.00 SIGNATAE V OF PERMITTEE f � - Q. too - 500 15.00 DIS IC= O TUBE, . GROUP ZO E MSSE GOR SIGN AND ONE CIRCUIT 3.00 'UU / MARQUEE ADDITIONAL CIRCUITS 1.00 ..JJ NOTES: .S 1 0A1 Z SERVICE NOT OVER 600 VOLTS OR 2 AMP 2.00 y., C L SERVICE OVER 600 VOLTS OR 200 AMV 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE • TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT • PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED • PERMIT ISSUING FEE 2.00 00 UTILITY CO.NOTIFIE15 • SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE 47 6 o _ fe, JOSEPH C. ROOHAN (©. SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. M.O. CASH U 7 ,, ,�!�'NI 7 D 16.60- SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 0 78Ae44-CE8081/70 APPLICATION FOR ELECTRICAL PERMIT (J COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND'SAFETY DIVISION ADDRESS JOHN A. LAMBIE. CouNTY ENGINKKR L0CALI COLEMAN W. JENKINS UPKININTIENIONNT 0 UILDIP NEAREST FOR APPLICANT TO FILL IN CROSS ST. OU ETS F OWN-FA RECEPT 01 MAIL FIRST 20 20 �.Ioo ADDRESS f+� ��' do LIGHT TA CITY TEL. NO. SWITCH OVER 20 .10 PLAN CHECK LIGHTING 1 FIRST 20 20 d APPLICANT J} TO A ADDRESS FIXTURES OVER 20 .10 APPLIANCES CITY TEL. N0. PERMIT RANGE DRYER_ -WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. N0. CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. FAN OTHER 1.00I HERESY ACKNOWLED/E THAT I HAV[ READ THIS APPLICATION AND STATE THATTHE ABOVE I/ CORRECT AND AGREE TO COMPLY MOTORS, TRAN/FORMER/ FLAT[He WITH ALL COUNTY ORDIKANC ES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. EW. KVA. ELECTRICAL WIRING. SIZE i TYPE OVER TO I H[R[7Y CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICEKSED AS REQUIRED BY LOl "'LES COUNTY STATE OF CALIFORNIA OR THAT I TH GAL OWNER D INTEND TO 1 - 10 E.00 RESIDE IN, THE E RE IAL PROPERTY. 81GNATURE d 10 - 50 5.00 OF PERMI 0 SQ - 100 10D0 DISTRICT NO. Q.AI/ /ROUE Z ... [D ■Y DL 100 - b00 15.00 rD S � (jLLVrJ SIGN, GAS=SIGN ONE CIRCUIT 300 NOTES: CL TUBE, OR 2 MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2A0 APPROVAL/ DATE /ISPECTDR'/MM4TUR! SERVICE OVER 600 VOLTS OR200AMP 5.00 TEMP.POWER POLE TEMP SERVICE,POLE, h APPURTENANCES S.00 UNDER-SLAB WORK TEMP LIGHT OR REGEPT. SYSTEM 5A0 ROUGH CONDIUT WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 FINAL SUPPLEMENTARY PERMIT ISSUING FEE 1.00 J PH C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. - M.0. Q er_ a 8 r n FEB 3 z D 9.20- . _ SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ��T ` � " P t 1 2 / 7 7 A P P L I C A T I O N F O R E L E C T R I C A L P E R M I T G Q u N T Y o F L o s A N t 3 E L E s D E P A J C T A A I E N T O F 4 r O U N T Y E N I I N E E R ��Q ��R �� ��` �� B U I L D I N G A N D 3 D 1 0 N M P A D P L T O F I L L I L O C A L I T Y 7 , e F l " P 4 E e / 7 - N e w R e s l d e n k a I B l d g s & P o o l e E A C H N O . F E E / y / C �� 1 ��2 - F a m I l y , S q . F t . $ . 0 2 5 $ 7 S O W N E R O T . ( ? 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