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76A66+1_C_E806 10.59 .APPLICATION FOR ELECTRIC PERMIT Y .
COUNTY OF LOS ANGELES v
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS i.•
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SuwT OF BUILDING .LOCALITY T"Erj ID,4 X
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES ' CROSS ST.
OWNER
ITEM NUMBER EACH FEE ,E L
OUTLETS: - $ $ MAIL D
�` L ADDRESSJ17 4
LIGHTS' RECEPT. - SW.- crt .10 V Q'
LIGHTING FIXTURES 10 CITY TE' PL.L- TEL.
LEC.RANGES . CLO.DRYERS ELECTRICIAN 'RI C J/
WATER HEATERS .50 ADDRESS Zry �,3,32Yy�y1 s/^rte19
ELEC.SPACE HTRS. DISHWASHERS CITY
ARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS .25 CJ LICENSE NO. I Cl
MOTORS: OVER INC. H.P. DiSTRIQI— IO. I G�I Z,Is[E jROC_ ESSED BY 'f
O— 1/2 .2 5 /51,
1/2— 2 50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
Is— 50 2.50
56-200 1 5.00
NO.TRANS.
SIGNS:
NO.LAMPS
SERVICE 0-600V 1.00 160
SERVICE OVER 600V 5.00
MISC.
4(-U.-ls�to
WIRING PERMIT 1.00 `-
t; n�
FIXTURE PERMIT . 1.00 �?�1�l�f)r/ � P7I�_ �f��I�PS�Y6II/
SUPPLEMENTARY PERMIT .50
TOTAL FEE $
1 HEREBY 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 !°'� /7 / //AGI J .�,�L(`�C•!�
ELECTRICAL WIRING- WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES -9i/�O�J �34X/1/IAlGQ P1/U
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE - - -
DESCRIBED R9SIDENTIA OPE TY. POWER
SIGNATURE UTILITY CO.NOT]FIED iS'
�T
OF PERM ITT FINALS `2-
OF - A DATION ARTHUR C.VETT, .
cKf Mo cnsH SUPERVISING ELECTRICAL ENGINEER
76A663 DBS 5A II-So APPLICATION FOR PERMIT
DEPARTMENT-OF BUILDING-AND.•.SAFETY
COUNTY OF. LOS ANGELES I
WILLIAM J. FOX,- CHIEF ENGINEER
XjfOR APPLICANT TO FILL IN DISTRICT N GROUP Z E PERMI O.
�t du A A -7o• -
ELECT C{/C ' . � . .,�x_hdww
_ RE EIVED BY READY FOR, DATE ISSUED
ADDRESS.,- FIRST
"i /� - FIRST INSPECTION
AI
CITY / � �'[,rm 'TEL..N•. 3 S• �. �f f ' CJ W �v
COUNTY LICENSE NO.' 2S EXPIR '6 ®I XC BUILDING
7
PERMIT FEES 9 v
ADDRESS
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS Y NEAREST // e
RECEPTACLES yy'. . CROSS ST.
WALL SWITCHES ^�.0 OWNER
TOTAL OUTLETS. Sc, $ MAIL -
ELEC. RANGES 25 ` ' ADDRESS
ELEC. HEATERS _ 25 CITY - TEL. NO.
FIXTURES 5
I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. •,(�' APPLICATION AND .STATE THAT THE ABOVE IS• CORRECT
NUMBER OF LIGHT CIRCUITS '1/� AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS I' AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NuroIeER HORSEPOWER _ ANGELES COUNTY LI ENSE, OR 1• AM THE LEGAL OWNER
FEE OF THE RESIDEN :PROPERTY DESCRIBED BOVE.
NEW MVD. HP OVER I INC. EACH 6666��Y���
I/2 s LESS SIGNATURE OF
.50 - PERMITTE - lY !Viii
z 5 1.00 INSPECTION RECORD'
5 15 1.50
Is 50 2.50
50 200 5,00 '
200 Soo 10.00 J
500 '1000 15.00 Z
OVER 1000 20.00 - ('
M. G. SET/FREQ. CHANGER-HP - LY
WELDERS: AC-KVA O
GENERATORS-KW
TRANSFORMERS-KVA.
TEMP. MOTORS (75%OF ORIG.) 'I
MOVED MOTORS (75%OF ORIG.)
MISC. - I.
SIGNS :
No. NO; TRANS.' APPROVALS
NO. NO. LAMPS. I•.+ - DATE INSPECTOR'S NAME
FOR EACH PERMIT:, CON QUIT
WIRING $1.00 h".e I-(r+y/_. - (D--w Gr- ll Vllvr.v .
FIXTURES $1:00 �• Q WIRING
SUPPLEMENTARY * .50•
FIXTURES
• - - ..POWER
TOTAL FEE $ UTILITY CO. NOTIFIED )
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