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76A663-CE80612-65 APPLICATION FOR ELECTRICAL PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDINGiL
BUILDING AND SAFETY DIVISION ADDRESS 0� 7Gt-
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY f'' �-
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL No. EACH FEE
1 OUTLETS FIRST 20 $.20 $ OWNER ,
-
LIGHT T �y
SWITCH ADD'L 10 ADDRESS t") 4'-
OVER 20
TOTAL
LIGHTING FIRST 201 .20 CIcFY _ .' TEL. NO.
1 FIXTURES
FIXTURES J( ADD'L CONTRA TOR
OVER 20 .10
ANGES DRYERS WTR.HTRS. 1.00 ADDRESS
.DISP. STA.COOK
CITY O.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA. APDL. .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT N GROUP I ZONE P OC USED BY
O 1 1.00 :Z--
1 3 1.50 INSPECTION RECORD 0
3 8 2.00 V
S 15 2.50 O
H
15 50 3.00 W
IL
50 100 5.00 (Al
Z
SIGNS: NO.TRANS
NO.LAMPS
SERVICE 0-60OV-NOT OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
III
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTE D AND�OR FIXTURES i
LICENSED AS REQUIRVMT
ANGELES COUNTY NDD STATE OF
CALIFORNIA OR THAT EGAL OWNER OF, 0INTEND TO POWER
RESIDE IN,THE ABO R IDE TIAL P PERTY.
SIGNATURE UTILITY CO.NOTIFIED '� /v
OF PERMITTEE
FINAL
VALIDATION JOSEPH C. ROOHAN
CK MO ASH SUPERVISING ELECTRICAL ENGINEER
L 'I
068 1 8"- JAN 0 2 D 3.00-
ST
76A663 DBS 5A 11-513 ., APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC I
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. GROUP I ZONE PERMIT NO.
FOR A/PLICANT TO FILL IN d
C
ELECTRICIAN
RFFVEIVED BY READY FOR DATE ISSUED
ADDRESS , le) _ _./, (J//f'S FIRST INSPECTION
CITY TEL NO.CZE( �� 67�y
d J '///,��� ~
COUNTY LICENSE NO. O 10— EXPIRES BUILDING
V 8„2a jJ 1
PERMIT FEES ADDR �rJ n A
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS 9 NEAREST
/ CROSS ST.
RECEPTACLES [p /, I
WALL SWITCHES OWNER W 1 ( -
TOTAL OUTLETS 5c $ _ V
MAIL
ELEC. RANGES n 25 ADDRESS
ELEC. HEATERS G 25 ,�j�� CITY TEL. NO.
FIXTURES _ `-' =-� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE, TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE
NEW MvD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESRIBED ABOVE.
I/2 s LESS $ .25 SIGNATURE OF5�, �//
! T
I/2 2 .50 PERMITTEE f
s 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
_ 50 200 5.00 _
200 Soo 10.00 J
SOD 1 1000 15.00 Z
Z_
OVER 1000 20.00 Eg
M.G. BET/FRED. CHANGER-HP v
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF CRIB.) --
MOVED MOTORS (75% OF DRIG.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
DATE I SPECTORIS NAME
FOR EACH PERMIT:
WIRING $1.00 Q V CONDUIT
FIXTURES $1.00 Q6
WIRING
SUPPLEMENTARY .50
FIXTURES
POWER
_q
TOTAL FEE III �0 UTILITY CO. NOTIFIED �� / !'�1•"
FINAL T,+ 1
76A663-CE80612-65 APPLICATION FOR E.LEt
COUNTY OF LOS ANGELES iiiiiiiiiiiiiiiL
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS d
JOHN A. LAMBIE, COUNTY ENGINEER f
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING- LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
R ECEPT, j TOTALNo. EACH FEE
OUTLETS FIRST20 $.20 $ OWNEIR
LIGHT MAIL
SWITCH ADD'L t0 ADDRESS '
OVER 20
TOTAL FIRST 201 .20 CIT TEL. NO.
LIGHTING 1 FIXTURES
FIXTURES 1 ADD'L 10 CONTRA. OR
OVER 20
RANGES DRYERS WTR.HTRS. 1.00 ADDRESS Al
GARB.DISP. STA.COOK
CITY i TEL. NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA. APPL. .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRI T N GR_r Z_ PR,0C Y
O 1 1.00 ��
i 3 1.50 INSPECTION RECORD a
O
U
3 8 2.00
8 15 2.50 0
15 50 3.00 U
W
O_
50 100 5.00 N
Z
SIGNS: NO.TRANS
NO.LAMPS
SERVICE 0.60OV-NOT OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERS LAB WORK
LANDE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
L COUNTY ORDINANCES AND STATE LAWS REGULATINGAL WIRING. WIRING BY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORFIXTURESD AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFNIA OR THAT I AM THE LEGAL OWNER OFAND INTEND TO POWER
,THE ABO D IBED RE DE TIAL OPERTY.
U ��� UTILITY CO.NOTIFIEDMIT
FINAL
VALIDAT JOSEPH C. ROOHAN
CK MO CAS SUPERVISING ELECTRICAL ENGINEER
L4to6 6 1 9 JAN 6 . 2 D 3.00N