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],SABt3-CE606 4-68 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Lc�5 ! v
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ODOR E55
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. ( -749-L�
NO. ACF FEE
RECEPT,_
$
- MA'
AIL r..
LIGHT_ TOTAL FIRST 20 .20 ADDRESS
SWITCH_ OVER 20 .10 CITY TEL. NC2. 0
PLAN CHECK
LIGHTING lTOTAL FIRST 20 .20 APPLICANT
FI%TURES 1( OVER 20 .10 gOORE55
RANGE_DRYER—WTR.HTR._ CITY TEL. NO.
STA.COOK_DISP. F.A.U.— CONTRACTOR y��)Vjq V
SPACE HTR. AIR CONO. ADDRESS �T�.AIQ,. 4S _'4Og-f
CLOTHES WASH._DISHWASH._ CITYW5440& v� yyTEL. NOZ Y/��L���cO
FAN—OTHER 1.00 LICENSE IJO `a'fA^Zero CLASS.`7 J
MOTORS.TRANSFORMERS RATING F
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
..TR
ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 IO 3.00 LICENSED AS REpUIRED BY LOS PNGE LES COUNTY AND STATE OF
CALIFORNIA OR TNAT THE LEGAL OWNER OF, AND INI END TO
10 50 5.00 RESIDE IN. THE AS OESCRIDEO RESIDENTIAL PROPERTY. O
50 - 100 10.00 SIGNATURE
U
OF PERMIT7MARQUEE
O
100 - 500 15.00
DISTRICGROUP N PROCESSED BY w
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 11
TUBE, OR J�D0ITIONAL CIRCUITS 1.00OTESSERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE. POLE, &APPURTENANCES 3.00 APPRDATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE L.
S WORK
NDUIT
PERMIT FEE (SUB TOTAL)
PLAN CHECK FEE (507. PERMIT FEE) HORIZED
PERMIT ISSUING FEE 2.00 ]FMiXTURES
.NSUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CABS
! aC:, 18 0 7 SEP 12 2 D x{55..00 -- d
TEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76AG63.CE806 7.56 APPLICATION FOR ELECTRIC PERMIT
BUILDING AND SAFETY DIVISION
Depmtmeat of County Engineer BUILDING ��O ��
County of Los Angeles ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT GF BUILDING LOCALITY L£
FOR APPLICANT TO FILL IN NEAREsr a
FOR A FEES CROSS ST.
NUMBER OWNER
LIGHT OUTLETS - WAIL }�a� , 1 t
ADDRESS l'/ VN
RECEPTACLES r �jAi
WALL SWITCHES FEE CITY L TEL. NO.,k—,
TOTAL OUTLETS Q 5C $ ELECTRICIAN
ELEC. RANGES 25 ADDRE ELEC. HEATERS 25CITY TELNOqKW EA STATE LICENSE NO.c- w'�+ {S � (Jv
FIXTURES 5
MOTORS DISTRICT NO, GROUP ZONE READY FOR INSPECTION
NUMBER HORSEPOWER FEE l `�
NEW MVD. HP OVER-INC. EACH
v e LE55 s .z5 INSPECTION RECORD
1/i 2 .50
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00
misc.
NO. SIGNS r NO. TRANS. /
NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING PERMIT 51.00
FIXTURE PERMIT $1.00 w��
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE $ DATE INSPECTOR 5 SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIA RTY UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
JOHN A.d.AMBIE, VALIDATI ARTHUR C. VETT.
COUNTY ENGINEER CK. MD ABH SUPERVISING ELECTRICAL ENGINEER
UQ 0,3 4'9 Ot APR 29 2A 2;:0 0 n '
76ASE3-CE806_6-57 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES �s
DEPARTMENT BUILDIN AND SAFETY DIVISION ENGINEER BUILDING � VM
ADDRESS 1r
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY Q ISR IV�I�
FOR APPLICANT TO FILL IN CRR.s.ST 1/
3C,4
PERMIT FEES OWNER 1414 AO
LIGHTS RECEPTACLES SWITCHES
NUM®ER ITEM EACH FEE MAIL
TOTAL OUTLETS f 10 f I
ADDRESS
ELEC. RANGES. WATER HEATERS, CITY TEL.NO,
CLOTHES DRYERS .50
ELEC. SPACE HEATERS, STAT Y. COOK- ELECTRICIAN &Z
Iy p J) AC/liE/ LL�r P/. P_CI
ING UNITS. GARBAGE DISPOSERS. ADDRESS CP y r d.PBn LA/A0 •Ct—
AUTO WASHERS, DISHWASHER .25 r+ / J
LIGHTING FIXTURES AD CITY O$�J' M// RZ>01-1 TEL.NO.,d7_7A0S'47
STATEmfr�q ++y (1 n f
MOTORS LICENSE NO. JA 1 7
HOING RSEPOWER
DISTRICT NO. GROUP ZONE READY FOR INSPECTION
OVR
H.P: E �r ' _-
y&LESS .25 S
1/R — 2 .50 INSPECTION RECORD
2 5 1.00
5 15 1.501 1
15 50 2.50
SO 200 5.00
MISC.
SIGNS I NO.TRANS
NCL LAMPS
SERVICE 0 600 1.00
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 _
SUPPLEMENTARY PERMIT .50 APPROVALS
TOTALFEE f
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPLICATION DATE. INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CONDUIT A,�
WITH ALL COUNTY ORDINANCES -AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING �Y
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LE OWNER OF THE ABOVE POWER
DESCRIBED RESIDEI(HTI/A.I.+PROPERTY.
SIGNATURE " /� A/ UTILITY CO.NOTIFIED
OF PERMITTEE
.rFINAL
JOHN A.LAMBIE. ]�LIDATION ARTHUR .VEIT,_—��
COUNTY ENGINEER
No CASH SUPERVISING ELECTRICAL ENGINEER '
t
-•. ol 3 4 3'S FEB 18 2 A 1 0.5 00
11
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