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APPLICA�ON FOR ELECTRIC RMIT 1
COUNTY OF LOS ANGELES ��{�� //
DEPARTMENT OF COUNTY ENGINEEF"/ �Y' BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILIING LOCALITY
FOR APPLICANT TO FILL IN NEAREST '
PERMIT FEES CROSS ST.
I TEM NUMBER EACH FEE OWNER
MAIL
OUTLE /
LIGHTS ftECEPT GW.
LIGHTING FIXTURES (� IO CITY TEL.NO
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO. CJ
GARBAGE DISPOSERS / AUTO.- IT%/ STATE
WASHERS STA.COOKING UNrts .25 /V LICENSE NO. /V u !/
MOTORS: OVER INC H.P. `� DISTRICT NO. I GRTOUP I ZO I PR�O,10ESSEQi Y
lo� O— I/ / .25 .�I� s�o –••LQ�.
I/— 2 .50 INSPECTION -RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-SOOV I.00
SERVICE OVER SOOV 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE Is//
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECT R'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. l AA..
I HEREBY CERTIFY T T 1 AM PROPERLY REGISTERED AND�OR WIRING
LICENSED AS REQUIREv.y.
(COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT R OF THE ABOVE
DESCRIBED REEIDENT. POWER
aa
SIGNATUREUTILITY CO.NOTIFIED R,
OFPERMITTE _
v
FINAL
/VAPDATIONARTHUR
H
CK MO CASH SU ERVISING ELECTRICAL ENGINEER
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7 76A665-CEB06 10.62 APPLICATION FOR ELECTRICAt PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER / C y
WILLIAM A. JENSEN, SUP'T OF BUILDING LOCALITY G L
NEAREST �/v C O n `
FOR APPLICANT TO FILL IN CROSS ST. J / /s'1.
RECEPT.
TOTAL NO. EACH FEE My /�
OUB FIRST 20 $20 S OWNER V\
LIGHTAff MAIL
S
WITC x, Qveq 20 10 ADDRESSy LEO IAF'
TOTAL 20 A CITY /N LE C J/ TEL. NO. AfGJ 7G
LIGHTING I FIRST 20 � �
FIXTURES f( nnn'L
oven 20 .fo ELECTRICIAN
�J /,CJ
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS �v J 7/L�O n�4
GARB.DISP. STA.COOK n�T
CITY _� Cl TEL. NO. /s MC-
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.Iyi H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT N G Z PO D BY
o — 1 1.00 f
1 3 1.50 INSPECTION RECORD A }
q /v `I d
3 6 2.00 �®C I t�F_6/ �. t. '..I.// 'd4'_j_
B 15 2.50 i_A I I - V
cc
15 50 3.00 ° 0
50 100 5.00j
SIGNS: NO.TRANS. N�YY
NO. LAMPS z
SERVICE 0.600V.NOT OVER 200A 1.00
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 5
I N HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI TI 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 �/T �/ J / -
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ]//I YiL.`, T.,1..^'
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE I I -
DESCRIBED RESIDENTIM11PROPERMY. POWER
s
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITT
FINAL
VALIDATION ARTHUR'C. VEIT—
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LTA,09 0 6 H:S Fh.'( 2Q 2 0 4.4 0 v .