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'6°663-EEa05 9-64 APPLICATION FOR ELECTRICAL PERMIT / u
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 0
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. ,E //Y7
RECEPT. TOTAL NO, EACH FEE / L
OUTLETS FIRST 20 ($ $ OWNER
LIGHT 1 20 MAIL
ADD'L
ADDRESS
SwITC H. OVER 20 .10
TOTAL CITY T N .
LIGHTING — F1RBi 20 .20
FIXTURES ADWL 10 ELECTRICI N
[ OVER 20
RANGES CLO.DRYERS ITR.HTRS. 1.00 ADDRESS y 1
GARB,oISP. STA.cook CITY �• T L. NO.
DISHWASH. AUTO.-WASH. STATE It
SPACE HTRS. STA.APP.(1/2 H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PROCESSED BY
o 1Loo j d
1 3 1.50 INSPECTION RECORD
3 8 2.00 d
8 15 2.501 OV
15 50 3.00 w
50 100 5.00 O
SIGNS: NO.TRANS. lWJ
NO.LAMPS AD
AD
Z
SERVICE 0.600V-NOT OVER 200° 1 1.00
rSERVICEO-SOOV-OVERM200A. l2.00
ICE OVER 600V5.00
IT ISSUING FEE2.00LEMENTARY PEE 1.00
TOTAL FEE $ �
IHEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION APPROVALS DATE INSPECTOR'S BIGNATUR!
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COU
NTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
HEREBY -CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES LINTY AND STATE OF
CALIFORNIA OR THAT I AM E LEGAL O E OF. A INTEND TO
RESIDE N, THE ABOVE OER T D REST E TI L PROP 1Y. POWER
SIGNATURE E L UTILITY CO.NOTIFIED s
OF PERMITTEE i y
FINAL
LIDATION JOSEPH'C. ROOHAN
�
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L...�� 4 38 4wS AUG 26 2 D 3.0 0 �'
78A663-CEBOS_11.57. APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. MR
LAIE. County.En eor
CASSATl D. GRIFFIN. Supof Huildin; LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. -
PERMT FEES
1 TEM NUMBER EACH I FEE OWNER
// MAIL
DL GHTSTB REOEPT S lJ $ .10 f ADDRESS
LIGHTING FIXTURES '10 CITY
ELEC.RANGES CLO.DRYERS ELECTRICIA
WATER EATERS .50 ADDRESS
EL ISHWASHERS
GARBAGE DISPOSEAUTO. CITY { TEL.NO. f�
STA.COOKING UNITS / .25 - STATE
LICENSE NO.
MOTORS: OVER INC. H.P.
0 — +/ 25 DISTRICT NO. IGROUP ZONE eeADT POR lN3Psc110u
V. — 2 .50
2 — 5 1.00 INSPECTION RECORD
5 — 15 1.50
IS — 50 2.50
50 — 200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT ,50
TOTAL FEE 5 APPROVALS
1 HEREBY ACKNOWLEDGE AT 1 HAVE READ THIS AP (CATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE AB IS CORRECT AND AGREE 0 COMPLY CONDUIT
WITH ALL COUNTY ORD NCES AND STATE LAWS RE LATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY HAT I M PR PERLY REGISTE AND/ FIXTURES
LICENSED AS REOUI 0 'BY S AN S COUNTY AT F
CALIFORNIA OR T T I AM T OWNER A VE '
DESCRIBED RESID T L R T POWER
SIGNATURE / - UTILITY CO. NOTIFIED
OF PERMIT?
VALIDATION ARTHUR C.VEIT.
CK mo CASH SUPERVISING ELECTRICAL ENGINEER
LJL 4 4 2 3 -; APES 2 2 A 735 '<