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76A663-CEQ' 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
EPARTMENT OF COUNTY ENGINEER BUILDING 7
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER G
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. ,yf�.c<
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER
LIGHT MAIL
ADD'L 10 ADDRESS
SWITCH. OVER 20
TOTAL CITY TEL. NO.
LIGHTING F)RsT 20 .20 —
FIXTURES } I ADO'L 10 ELECTRICIAN
OVPR 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS !%j fl ..,J.
GARB,DISP. STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.('/.H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRIC NO. GROUP P ESSED BY
O 1 1.00
1 3 1.50 INSPECTION RECORD
3 8 2.00 ��O��->°..�
8 15 2.50 _
15 50 3.00 IL
50 100 5.00 0
SIGNS: NO.TRANS
NO.LAMPS O
H
SERVICE 0.60OV-NoT OVER 200A 1.00 ' W
SERVICE 0.600V-OVER 200 A. 2.00 try
SERVICE OVER 600V 5.00 z
MISC.
� v
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 11.001
TOTAL FEE $
LI BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIONAPPROVALS OATS INSPECTOR'S SIGNATURE
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYLL COUNTY ORDINANCES AND STATE LAWS REGULATINGCONDUITCAL WIRING. WIRINGEBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORD AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFFIXTURESNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
ED RESIDENTIAL PROPERTY. POWER
URE UTILITY CO.NOTIFIEDMITTEE tp > r
/ LIDATFINAL x f� L e) F�. /� X 91 u£ . 4•'
ION ARTHUR C. VEIT
�/ CK MO CASH SUPERVISING ELECTRICAL ENGINEER
76AG63-CE80610-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUP'T OF BUILDING LOCALITY
NEAREST
OR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER
LIGHT z® MAIL
SWITCH. ADD'L2
L ADDRESS
�O OVER 20 Q .10 •'�
Y .ft TEL. NO.
LIGHTING TOTAL� FIRST 20 �® .20 � CIT
�}o
FIXTURES ADD-L 10 ELECTRICIAN
OVER 20 N, Q
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
-� -r----- CITY TEL.NO. d j��(rl
DISHWASH.1 AUTO.-WASH. 8 STATE
SPACE HTRS STA.APP.(%H.P.MAX. .50
LICENSE NO-
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP N P ESSED BY
O 1 1.00
1 3 1.50 INSPECTION RECORD at
a
3 S 2.00 O
8 15 1 2.50 V
is 50 3.00
50 100 5.00
d
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0.600V.NoT OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 -
TOTAL FEE !;20d
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING 1 C'C` J ' }' , ✓!w`.
II HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM,,THE LEGAi- OWNER OF THE ABOVE O
DESCRIBED RESIDENTIAL 7?rn
161/ POWER
SIGNATURE /tJ`//`� UTILITY CO.NOTIFIED A.OF PERMITTEE �
FINAL 07
!� �LIDATION ARTHUR C. VETT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
- 'SCO
Dsa.aw Iz.aA A PPLI CA TI O °'
DIVISION OF Z DING AND S N F 0 R .E L E C T
DePcrt ,at of fl l C
COarttt Engineer
cosfntT of c- PERM 1�" 7 ._;.
WM.J. Ir COUNT EryO,NEER .�., ..., d
C!,SLATT p,GRIFFIN,
FOR APPLICTO �ANT FILL ItY' gLOp den
MI
PERT �q `LOCALrr-r Te 1 lE Ci
NrARrWr
~ CRO ,
IfCH—TO UTLETS I NUMBER SS ST
FEE —�
----_ EACH+
RECEP—ES
e_WALL SWfT CHEs MAIWN _��i n`e
.MAIL
-TOTAL OUTLETS
ELS EC.RANGES
ELE AT� S--�I ++� -'CITYRS
------j �
FI�T()RES ADDRESS 1
—1 ? 0,L- c_
NUMBER I�I 3 1 _C:TY A�1fl2RbOg�•0• Curtis _"---
�- OF LIGHT CIRCUITS_
"memiea.c..= OF P.r" I_. ; LICENSE 1i0_ TEL
"UITS DISTRICT
MOTORS ! O.
MSV aEE
HE, HOR3EP0\VER I ZONE i �[ra��nw/►s.[cr loR
-�I ISP ov[R I I FEE t
INC' EACH I :r
i—•--__1
—I --Lt 4 i
--j-- A — —_2�
--I---! I 2 -►_—Z---3O
1.00
I 2.3 O
-�00 .00 ��
R_ ht---
NO, SIGNS
NO, TRANS.
SIGNS
_ - NO, LAMPS I
FnR EACH PFRMIT; 1
_WIR_.,�
FI--"TURES 51.00
SUPPLEMENTARY SI.0c) Il1A
.30
TOTAL FEE l s 2�O i
------
PEI—
I w ac•' 7 ��LC
MNE "' ^��f10MLEDGE TH:T f RA• ,
TH SAME COUN7YHE 469YE 13 CORE T READ THIS A►PLIC1-TPA ZA rE
E'ETR:CAL MIRING_ORt71HAHCc'3 gyp icTATE LA WAMD S AGREE CCrwT - INSPCCTO-=yam.-�F�
.;L-Mr" 3Y CP-TfrY T�A7 �' EGUC.T7Rt -_,
ED AS REU
ACQUIRED AT 1 Y=
UR v iT.LT�ner l�'jEi'i'iD A ��-- � I ----�-
DESCI, +rr i HAi I i RD'Le FIXTURES 12
RESIDEYTIA' A Y ANO STATE Ct r,
S KHAT. ER OF THE Ae'vE !
TT
i llTlLflyCO_T_ xLrLk, r' .
WIL!iAM S. F
OX, COUNTY ET•13!.`ti2R r �•'_�rAr: �+_r_ L ----�
ate. ��LmA i7G2,T I.� 6t
• . �-: �0 2 2.40 +�
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