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7BABBB-CEBOB 12.58 APPLICATION FOR ELECTRIC - PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER81111 DING •-
BUILDING AND SAFETY DIVISION ADDRESS / �7
JOHN A.LAMBIE.COUNTY ENGINEER q
CASSATT D.GRIFFIN.8UP'T OF BUILDING LOCALITY OSEl1'IL�'/ D
FOR APPLICANT TO FILL IN NEAREST CROSS sr. 00Fvocq
PERMIT FEES
ITEM NUMBER EACH FEE OWNER
OUTLET g g /_UpO MAIL
LIGHTS <t RECEPT. SW. ,10 ADDRESS
LIGHTING FIXTURES .10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN P, a//'AML/e Y14
WATER HEATERS .50G '
ADDRESS O
ELEC.SPACE HTRS. DISHWASHERS C /
CITY 1 TEL.NO. G SLP��
GARBAGE DISPOSERS AUTO.-
STATE •Z/ 7J O
WASHERS STA.COOKING UNITS ,2$ LICENSE NO. J / O
MOTORS: OVER INC. H.P. - DISTRICT NO. GROUP I ZONECESSED BY
O- 1/z 25
I/ — 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15- 50 2.50 5 'c 04 L. L,J w V Z G-
50-200 5.00 Pr7ryle(� ,
SIGNS: NO.TRANS.
NO.LAMPB q
SERVICE O'GOOV - 1.00 0 ;;7 _J" /
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 ma
FIXTURE PERMIT- 1.00 (7
SUPPLEMENTARY PERMIT .50
TOTAL FEE s APPROVALS
IH
EREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT �• {r/yj
ELECTRICAL WIRING. WIRING ✓ ��`.YH �a''�Y\
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE �n
DESCRIBED RESIDENTIAL PROPER Y. Q POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE '�
FINAL
LIDATION , SU ERV s1 G ELECTRICAL ENGINEER
MO CASH
T05 9 4 8 APP.3 0 2 A 6.4 0
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