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'9A663-CEB0810-611, APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARME.NT OF COUNTY ENGINEER FADDRESS
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BUILDING AND SAFETY DIVISION Csa Lo
JOHN A. LAMBIE, COUNTY ENGINEER _
WILLIAM A.JENSEN,SUPT OF BUILDING
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES OWNER
I T E M NUMBER1 EACH I FEE MAIL
OUTLET $ 3 ADDRESS
LIGHTS �RECEPT. SW. .1O � /�
CITY � L� C/T EL. NO.
LIGHTING FIXTURES 10 ^
ELEC. RANGES CLO. DRYERS ELECTRICIAN c 7-A-L 00� C G�
WATER HEATERS .50 ADDRESS �..,J P/ c a F-e
ELEC.SPACE HTRS. DISHWASHERS - - '
CITY _7 'Ci TEL NO.
GARBAGE DISPOSERS AUTO.- _ STATE f
WASHERS STA.COOKING UNITS -25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRI�T G U Z N TTE
0— 1/2
Ii2— 2 -so INSPECTION RECORD
2— 5 Loo n
O
5— 15 1.50 U
Is— 50 2.50.
O
SO— 200 1 5.00 �~)
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SIGNS: NO TRANS. te�aj'
NO.LAMPS
L
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
misc.
WIRING PERMIT - 1.00 Ov
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT ,50
TOTAL FEE $`j 06)
/
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS.APPLICATION APPROVA -�1�DATE �rj INSPECT_OAR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT V
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING J jGSI _
ELECTRICAL WIRING. WIRING v ' �-
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF . FIXTURES
CALIFORNIA OR THAT I AM H LE AL O ER OF THE ABOVE
DESCRIBED RESIDENTIAL P R POWER
-SIGNATURE UTILITY CO.NOTIFIED / q f -
OF PERMITTE -
Suomi i FINAL I
LIDATION ARTHUR C. VEIT
.0 MO CASH SUPERVISING ELECTRICAL ENGINEER
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�r ar 10 7 4 JUPJ 5 2 D 3.0 0