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76A663-CE80612-58 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES ¢¢��
DEPARTMENT OF COUNTY ENGINEER BUILDING 4
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE:COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
PERMIT FEES
OWNER
ITEM NUMBER EACH FEE
UT ET
$. $ a/ jA MAIL
_ 17
LIGHTS RECEPT. / SW. Z .10 Fes/4/Gl ADDRESS
LIGHTING FIXTURES t' /, Ad � �� CITY
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS
ELEC.SPACE HTRS. DISHWASHERS /r'•i .F.
Cfl�MNE
�� �
. f L.NO. 0
GARBAGE DISPOSERS AUTO.- STr /
WASHERS STA.COOKING UNITS .25 Ll
u-
MOTORS: OVER INC_ H.P. DISTRI T NO. G UP V ESSED BY
O— 1/2
.25 ._
1/2- 2 / .50 INSPECTION RECO
2— 5 - 1.00 "
5— 15 1.50
is— 50 2.50
50—200 5:00 -
NO.TRANS.
SIGNS: -
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 APPROVALS
I HEREBY ACKNOWLEDGE THAT I .HAVE READ THIS APPLICATION DATE/ INSPECTOR'S
SIGNnATURE
D
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT '-��it� O"" ✓�.J3 F �/ —
WITH ALL COU Y ORDINANCES AND STATE LA REGU LATING _
ELECTRICAL ING.
1
HE
CERTIFY T A I AM PROPERL .R ISIS RED AND/OR WIRING
LICENSED AS REQUI D LOS ANGELE CO T NO STATE OF FIXTURES ,r n
3 CALIFOR IA OR T T AM THE LEG NE F THE ABOVE
DESCRI ED RESI TI RO Y. / POWER
SIGNA URE -'` UTILITY CO.NOTIFIED
OF PRMI E
_ FINAL
®F A DATION ' ARTHUR C: VEIT,
CK MO CASH (SUPERVISING ELECTRICAL ENGINEER
I ,7 9 7 6"o FEB 2_ 3.C3 fl .
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IIIA666-CE6066-60 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN. SUP'TOF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
PERMIT FEES
OWNER
1 TE M NUMBER EACH FEE
O , f-!UTLEMAIL
T ADDRESS
,` /
IGHTS RECEPT. SW. 10 r
LIGHTING FIXTURES _ 10 �) CITY TEL.NO b / S
ELEC. RANGES CLO. DRYERS ELECTRIC AN
WATER H EATERS .50 ADDRESS
ELEC.SPACE HTRS DISHWASHERS CITY TEL.NO.
GARBAGE DISPOSERS AUTO.- j / STATE
.WASHERS STA. COOKING UNITS / .25 T/S LICENSE NO.
MOTORS: OVER INC. H.P. DISTT�T NO. I GBTP P C ED
0 — I/z f .25 ?
1/2 — 2 .50 INSPECTION ECORD
2 5 1.00
5 — 15 1.50 ! /v.5 SEGvrCr rry - .yp vvrlLt
15 50 2.50 a a'
Ai [ 7 r/,,> O
50 200 5.00 U
SIGNS: NO TRANS. d
NO. LAMPS Z
SERVICE 0.600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT 1 .50
TOTAL FEE $ �Q
LBY ACKNOWLEDGE THAT I HAVE READ THIS APPLIGIlION APPROVALS DATE INSPECTOR'S SIGNATURE
TE THAT THE ABOVE IS CORRECT AND AGREE 70 COMPLYLL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
CAL WIRING. WIRING
EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORD AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURESNIA OR THAT I MHE LEGAL WNE OF THE ABOVE
ED REBIDENTIA ROPER POWER
URE TILITY CO. NOTIFIED
ommommob MITTE
FINAL / 70 7 :% .� �......
VALIDATII ARTHUR C.VEIT,
CK MO (�CASHSUPERVISING ELECTRICAL ENGJNEER`/
� Ste/ ;�1:.� /✓ ' �6AjF'< // -�
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