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76A66C-CE.#806 5-61 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS /ANGELES
DEPARMENT OF COUNTY ENGINEERFADDRE
G
BUILDING AND SAFETY DIVISION JOHN A.'LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING Y
FOR APPLICANT TO FILL INr.
PERMIT FEES OWNER `
'I T E M NUMBER EACH FEE MAIL
OUTLE 56 S $
ADDRE i
LIGHTS /RE EP SW. .10
CITY TEL. N
LI GH 1 "FIXTURES ,10
ELEC. RANGES CLO. DRYER ELECTRIC ZA N
WATER HEATERS .50 ADDRESS i
ELEC.SP HTRS. DISHWASHERS
CITY NO.
GARBAGE ISPOSERS / AUTo.- STATE
WASHERS STA.COOKING UNITS ,25 LICENSE NO.
7
MOTORS: OVER INC. ' H P. DISTT N GRO P Z E P OC BY
0— 1/2 .25 ''
1/2- 2150 INSPECTION RECORD
2— 5 1.00
O
5— 15 1.50 L.7
15— 50 2.50 0
H
56— 200 5.00 W
NO TRANS. O.
SIGNS: N
NO.LAMPS Z
SERVICE 0-600V 1.00 .
SERVICE OVER 600V 5.00
misc.
WIRING PERMIT 1.00 �•
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT 50
TOTAL FEE S 1p
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND,,STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING i / z AD
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 6j /
LICENSED AS REQUIRED BY,L09 ANGELES OUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE L GAL WN THE ABOVE r d y
DESCRIBED RESIDENTIA P ERTY. POWER n w
SIGNATURE / UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL t
I ARTHUR C. VETT
CK MOO CASH SUPERVISING ELECTRICAL ENGINEER
' n^
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