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76A663-CES06 f0-61 (/'�Utl tl M V�A ll �®Il V Il ®IOW ELL��YlTM �L P6' R I
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
,BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING a LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
1 T E M NO EACH FEE
OUTLETS IRST 20) $ $ OWNE�2
400
LIGHTS RECEPT! W. o '2'0 MAIL
OUTLETS ADD'L UNITS) .10 / f� ADDRESS
LIGHTS RECEPT. 9W.
LIGHTING FIXTURES (FIRST 20) 20 A CITY TEL NO
LIGHTING FIXTURES• (ADDITIONAL) .10 (O ELECTRICIA C9
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 7i
GARB.DISP., STA COOK CI-n. TEL NO
i DISIiWASH AJ1T0.-WASH. STATE
t SPACE HTRS STA.APP (1/y H.P.MAX.) •50 O LICENSE NO
�. MOTORS OVER NOT OVER H P. DISTE TnNO. G P Z N PRO ESS Y
• O i 1.00 �- I/ /I
e° 1 3 1.50 INSPECTION RECORD
3 ,, 8 2.00 jJ aS`i IC O L•Y A `.rte o
8 15 2.50 -` p U
F 15 50 300 r • .f t>. V „B. 4 �i�IL'
50 100 500
NO TRANSHy
SIGNS NO.LAMPS - L
77
t
SERVICE 0-60OV-NOT OVER 200A 1.00 e
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE
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 Goti .l
I HEREBY CERTIFY THAT f AM PROPERLY REGISTERED AND/OR �,d����A f i�os�•¢.
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF F FIXTURES "Zv"s^,z
CALIFORNIA OR THAT i AM THE LEGAL OWNER OF THE ABOVE -r -I r
DESCRIBED RESIDENTI PROPERTY. POWER I _
SIGNATURE UTILITY CO NOTIFIED Q
OF PERMITTE
t_ FINAL IJ G.Z
LIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER '
0 3 "S I-W25 2 a 1 0.8
76A663-CE806I1/70 APPLICATION FOR ELECTRICAL PERMIT
III COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST,
OUTLETS NO. EACH FEE
OWNER
RECEPT._ MAIL
FIRST 20ADDRESS -
LIGHT TOTAL .25'
SWITCH_ OVER 20 10 CITY TEL. NO.
PLAN CHECK
TOTAL FIRST 20 25 APPLICANT
LIGHTING
FIXTURES
OVER 20 .10 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
i RANGE DRYER WTR. HTR. APPLICANT
STA. COOK DISP, F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. - LICENSE NO. CLASS.
FAN OTHER � 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
�A
/ - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING `✓ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO }
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR a
0 - 1 100 LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 0
1 - 10 3.00 ,r RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. U
W
SIGNATURE
10 — 50 5.00 OF PERMITTEE ti
50 — 100 10.00
DISTRICT NO. jCLASSz
ONE PROCESSED BY
100 — 500 15.00 ' - Cie
SIGN, GAS NO ONE CIRCUIT 5.00 NOTES: O
SIGN A
TUBE, OR W
MARQUEE ADDITIONAL CIRCUITS 1.00 H
SERVICENOTOVER 600VOLTS OR200AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP SERVICE, POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT, SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
_. UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.00
JOSEPH C. ROOHAN
TOTAL FEE i� ;�...,., SUPERVISING ELECTRICAL ENGINEER,
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.0. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE