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78A889-CE806 12_58
APPLICATION FOR ELECTRIC E R IVI I�
COUNTY OF LOS ANGELES Y f �®
DEPARTMENT OF COUNTY ENGINEER BUILDING I
BUILDING AND SAFETY DIVISION ADDRES 9 nr_ _ � L -�•�
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY —C-ir. •'�/(� C�2/
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
PERMIT FEES
OWNER
OUTLET ITEM NUMBER EACH FEE
��SS JJ �J MAIL
LIGHTS (y- RECEPT./ ,L SW. / � G $.10 $ 1 Q ADDRESS
LIGHTING FIXTURES .10CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN ; /cIy .✓t,_ C
WATER HEATERS .50 ADDRESS / U / LL ,[..o. -
Q
ELEC.SPACE HTRS. DISHWASHERS // �.-.-
CITY
_ •�t�•�_ / TE L.�N O.L./.' J X5.3 Z 2
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS _ .25 S LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT NO. GROUP ZONE -PR_pQESSED BY
0— 1/2 .25 C_. a.L
1/2- 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 0-600V 1.00
2—
SERVICE
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 G D
FIXTURE PERMIT 1.00 ° 1
SUPPLEMENTARY PERMIT .50
TOTAL FEE 7 APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 63 ) C �q. //} r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING /�lll/ 1i�1i!'.(�'�(1//A11?
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT i AM THE LEGAL OWNER OF THE ABOVE '
DESCRIBED RESIDENT�L PR PERTY. POWER
SIGNATURE f �� - UTILITY CO.NOTIFIED
OcDF PERMITTEE ( s
FINALf ,t A d'�?�'' l?•„�ril.
P G�l
® DATION ARTHUR C. VVEIT.
SUPERVISING ELECTRICAL ENGINEER
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