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COUNTY OF LOS /ANGELES u �_
DEPARMENT OF COUNTY ENGINEER BUILDING'
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A JENSEN,SUPT OF BUILDING LOCALITY
NEAREST '
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES OWNER c Qco
MAIL
1 T E MAA t� NUMBER EACH FEE ADDRESS
LD•IGHTS TS�RECEPT.2 SW J SIO $ �� CITY TEL. NO.
LIGHTING FIXTU s .10
CLO DRYER I � ELECTRICIA/N� C :
ELEC. RANGES .$ ADDRESSHEATER6WATER 7 /Gf>a�
$Ca- S
ELEC SPACEHTRS. DISHWASHERS /` 62 (d`jaVO °
CITY `/ ' TEL NO.
GARBAGE�ISSTEA
AUTO J STATE �_/ri/� LJa
WASHER COOKING UNITS Y ,25 ow LICENSE NO. `TG(,� e
MOTORS OVER INC_ H P. DIST ICT G
2- 25 UP ZON P SSED B)'
Fav /fid . fl
1/2 z 50 INSPECTION RECORD
2— 5 1.00 G.
O
5— 15 1.50 V
15— 50 2.50
0
50— zoo 500 U
W
NO TRANS d
SIGNS N
NO LAMPS z
n SERVICE'0-600V 4100
SERVICE OVER GOOV '5 00
MISC
WIRING PERMIT - 100 (/V
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE $
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND,STATE THAT THE ABOVE,IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT / q Jf
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RES IDENTIA OPEF31'Y. POWER
SIGNATURE �.�� UTILITY CO NOTIFIED
OF PERMITTEE
FINAL
LIDATION ARTHUR C. VEIT
cK Mo CASH SUPERVISING ELECTRICAL ENGINEER
(raA,6 2"o`4',-' DEC 18 2 D 1 2.4 0
76A66C CE.#'806 5-61
APPUC AUPO l FOR ELEC RICAL [PERMIT
COUNTY OF LOS /ANGELES t
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Li f-
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST e
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES OWNER r w
1 T E M NUMBER EACH FEE MAIL '
ADDRESS
5` OUTLETS:
$
n LIGHTS RECEPT.X SW. .10 CITY TEL. NO.
LIGHTING FIXTURES
r ELEC. RANGES CLO. DRYERS 10 ELECTRICIAN p� c le.,,C..
WATER HEATERS 50 ADDRESS leo
ELEC SPACE HTRS DISHWASHERS p
CITY ($ TEL NO O �OD
GARBAGE'DISPOSERS AUTO.- STATE OF
a WASHERS STA COOKING UNITS .25 LICENSE NO.
MOTORS OVER INC H P. DIST ICT O. G OUP P ESSED BY
0— 1/2 .251
1/2— 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 ISO u
15— 50 2.80 O
SO— 200 ,' Boo C7
W
Y SIGNS NO TRANS a
N
NO LAMPS
SERVICE 0-600V
1.00
SERVICE OVER 600V 500
M ISC of
WIRING PERMIT 100
FIXTURE PERMIT too
SUPPLEMENTARY PERMIT 50
tl TOTAL FEE g
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 REGUL&TING
ELECTRICAL WIRING WIRING �1
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR e
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWN E OF THE ABOVE
' DESCRIBED RESIDEN L OPy6iTY. POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMIT'
FINAL
,^IDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER