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76A663-CE806 9.62 APPLICATION FOR ELECTRICAL PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING / '
BUILDING AND SAFETY DIVISION ADoaess .(i
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUP'T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. a
R EC EPT, /71 TOTAL NO. EACH FEE
OUTL TS FIRST 20 $20 $ OWNER
LICXi MAIL
SWITCH. OVER'L .10 ADDRESS
TOTAL CITY ' TEL. NO.
LIGHTING FI RST 20 .20
FIXTURES ADWL .1O ELECTRICIAN
OVER 20
-
RANGES CLO,DRYERS WTR.HTRS. 1.00 ADDRESS n
7� "14
ARB.OISP. STA.COOK /� \I
CITY TEL. NO.DISHWASH. AUTO.-WASH/ STA ''7SPACE HTRS.IT."BTA.APP.('A H.P.MAX.) ,50 LICENSE NO. � /MOTORS: OVER NGT OVER H.P. DISTRICCT NO. GROUP NE PR ESS
O 1 1.00 „� 1
I - 3 1.50INSPECTION RECORD
3 8 2.00
8 15 2.50
15 50 3.00
50 100 5_00 0
SIGNS: ND.TRANS.
NO.LAMPS yY0
SERVICE 0.60OV-NoT OVER 200A 1.00 yl
SERVICE 0.600V-OVER 200 A. 2.00 I`i)
SERVICE OVER SOON 5.00 Z
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 `
TOTAL FEE IS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS OATS INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY CONDUIT •A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ^ // //tr/
ELECTRICAL WIRING. WIRING I/'r //AIA
T HEREBY CERTIFY THAT 1 AM PROPERL REGISTERED AND/OR I r vi
LICENSED AS REGI ED BY LOS ANGELES OUNTY AND STATE OF FIXTURES
CALIFORNIA OR TTX T I AM THE LEGAL WN OF THE ABOVE
DESCRIBED REST E IA SOPERrY. POWER
SIGNATURE, UTILITY CO.NOTIFIED
OF PERMITTE
FINAL 1
LIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
UiUo 4 7 9 1, GCT 13 2 D 1 3.8 0— IN
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