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7BA663-CE806-10.56 A P P L I A TION 1=O R ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
Department of County Engineer FBUILDING
County.of Los AngelesRESS vJOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN. SUPT OF BUILDING LITY 'REST
FOR APPLICANT TO FILL IN cRoss T.
PERMIT FEES
OWNER /.� .
LIGHTS RECEPTACLES' SWITCHES
NUMBER I T E M EACH EE MAIL -
ADDRESS
TOTAL OUTLETS $ ,.10 $ a O -
ELEC. RANGES, WATER HEATERS, CITY TE O.
CLOTHES DRYERS .50 ^
ELEC. SPACE HEATERS, STAT-Y. COOK- ELECTRICIA
ING UNITS, GARBAGE DISPOSERS, ADDRESS.
AUTO WASHERS, DISHWASHER
LIGHTING FIXTURES .10 CITY eXjQ� /// .TEL. NO.rye/ a
MOTORS STATE /
LICENSE NO. I o I
HORSEPOWER
H.P. OVER INC. DISTRICT O. GRO. P N% READY FOR INSPECTION
1/2-&LESS .25
Yz — 2 ,s0 INSPECTION RECORD
2 5' 1,00
5 15 1.50
15 50 2.50
SO 200 5.00
MISC. '
SIGNS I NO.TRANS -
NO.LAMPS
SERVICE O-600V 1.00
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00,
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT' .50 APPROVALS
TOTAL FEE - S 6 DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I. HAVE-.READ THIS APPLICATION
AND STATE THAT THE-ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM-PROPER REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELE LINTY ND-STATE OF
CALIFORNIA OR THAT I A T L OW THE ABOVE POWER
DESCRIBED RESIDENTIAL P TY. I
SIGNATURE UTILITY CO. NOTIFIED
OF PERMITTE
FINAL V
JOHN A. LA IE. VALIDATION ARTHUR C.VEIT.
COUNTY 1'aN WEER CK mo CASH SUPE RVLQING ELECTRICAL ENGINEfiR
5 -AUG 2,0 25:.10 49