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8
APPLICATION FOR ELECTRIC PERMIT -
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS r
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERM EES CROSS ST
I T E M NUMBERI EACH FEE OWNER
OUTLETS: MAIL
LIGHTS RECEPT. 8W.• .10 Lv ADDRESS
LIGHTING FIXTURES 10 f'Ll CITY TEL. NO.
ELEC. RANGER CLO. DRYERS ELECTRICIAN
W A T E R H EATERS .50 ADDRES (t? i
ELEC.SPACE HTRB IfDISHWASHERS
CITY TEL.
GARBAGE DISPOSERBq AUTO.- STATE
WASHERS STA COOKING UNITS .25 LICENSE NO �((I
MOTO OVER INC. H P
0— I/z .2 5 Q DISTRICT UO. GF 0?P ONE ROCESS D B
O • / � f f-
vZ— 2' so INSPECTION RECORD
2— 5 100
• 5— IS 1 50
LSU"
15— 50 2.50
50-200 5:00
SIGNS: NO TRANS.
NO. LAMPS _
SERVICE 0-600V i.0o CZ
SERVICE OVER 600V 5.00
MISC
WIRING PERMIT 1.00
FIXTURE PERMIT 100 V
SUPPLEMENTARY PERMIT .50 s
TOTAL FEE APPROVAIS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S.SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT J
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING l 1
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL OPERTY. POWER
SIGNATURE ' UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL \
ATION• ARTHUR C. VEIT,
CK Mo CASH SUPERVISING ELECTRICAL GINEER
{ICO.5 o_6 0 fFR 14 '2 A 3120
'QABBB•°EBDB 7 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS-ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING,'
BUILDING AND SAFETY DIVISION ADDRESS l`
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY /�
FOR APPLICANT TO FILL IN NEAREST //`�
PERNIIT FEES CROSS �'Y
I T E M NUMBERI EACH FEE OWNER
OUTLETS $ $ MAIL
LIGHTS RECEPT. SW. .10 ,ADDRESS �
LIGHTING FIXTURES .10 CITY TEL NO.
ELEC. RANGES CLO. DRYERS „ELECTRICIAN
W ATE R H EATERS .50 ,'ADDRESS ' '
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL.
GARBAGE DISPOSERS AUTO.-
STATE
WASHERS BTA. COOKING UNITS .25VLICENSE NO. L c-
MOTORS. OVER INC. H.P. i DISTRICT NO. GROUP 1 ZONE I PROCESSED BY
O— 1/2 .25
v2— 2 .50 INS MON RECORD'
2— s - 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
k
NO. TRANS. I
SIGNS: NO. LAMPS
SERVICE 0-600V 1.00 2
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 ti
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ ,3 d APPROVAIS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 'J
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY,LOS ANGELES COUNTY AND STATE OF }FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER F THE ABOVEI
DESCRIBED RESIDENTIAL P OPERTY. ) POWER
SIGNATURE ✓ (,UTILITY CO.NOTIFIED
OF PERMITTEE FINAL
` fLIDATION ARTHUR C. VETT,
c Mo CASH SUPERVISING ELECTRICAL ENGINEER
3-2 7'2u,13 2 p � -
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