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78A869-CEB06 12-58 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
` BUILDING AND SAFETY DIVISION ADDRESS 6 Lemon
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
PERNIIT FEES
' OWNER Tilton
ITEM NUMBER EACH FEE
OUTLE S• g $ MAIL '
LIGHTS RECEPT. SW. 1p ADDRESS
LIGHTING FIXTURES 10 .10 J.W CITY TEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN D—Ja_x Elec. Ent.., I TIC.
WATER H E A T E R S 50 ADDRESS 2081 VJ First St,
ELEC SPACE HTRS DISHWASHERS C�+� 1-I
CITY J DiTEL NO —211
GARBAGE DISPOSERS AUTO-
STATE
WASHERS STA COOKING UNITS 25 LICENSE NO lyg 20 `
MOTORS: OVER INC H P ,,DISTRI T NO. I GROUP I Z NE P CESSED BY
0— 1/2
25
2 50 INSPECTION RECORD
2— 5 100
5— 15 150 '
15— SO 250
50-200 500
SIGNS: NO TRANS ,
NO LAMPS
SERVICE 0-600V 1.00 100 '
SERVICE OVER 600V Soo
a
MISC.
WIRING PERMIT 1.00 1.00 ,
FIXTURE PERMIT 1.00 1100 -
SUPPLEMENTARY PERMIT 50
TOTAL FEE 7.50 APPROVALS
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT - �pJ��^
ELECTRICAL WIRING WIRING
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
` LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES L
CALIFORNIA OR THAT 1 THE LEG �./R,,�QFHEBOVEDESCRIBED RESIDENTIAL O RTY. POWERSIGNATURE UTILITY CO NOTIFIEDOF PERMITT Pi.v
FINAL Z 9
®� ATION ARTHUR C. VEIT.
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
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