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HomeMy Public PortalAbout9658 LIVE OAK AVE_Electrical__ . -• G:-i /}"l k!rta i 76668-CE806 7-68 APPLICATION ION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING BUILDING AND SAFETY DIVISION °' ADDRESS i�S5 ✓LU_C'� JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY & FOR APPLICANT TO FILL IN NEAREST '� PERMIT, FEES CROSS ST. 1 T E M NUMBER EACH FEE OWNER OUTLETS: $ $ MAIL LIGHTS RECEPT. SW. .10 [J ADDRESS U {'VL✓-L G7w - /, �s, ,x LIGHTING FIXTURES ! / .10 b CITY (21- TEL. NO. lYd U ELEC. RANGES CLO. DRYERS ELECTRICIAN W AT E R H EATERS .50. ADDRESS ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS AUTO.- CITY TEL. NO. STATE WASHERS STA. COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. 3 DISTRINO. GRoueN/� P OCESSED BY O— 1/2 .25 !� � N 1/2— 2 5o INSPECTION RECORD I` 2— 5 1.00 ' t s— 15 1.50 15— 50 2.50 50-200 5.00 SIGNS: NO. TRANS. NO. LAMPS SERVICE 0-600V - 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 ('jI/ 'FIXTURE PERMIT 1.00 J i SUPPLEMENTARY PERMIT .50 - TOTAL FEE $ Z 2Cj' APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE D ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. - WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 9xJ /„yp'js C�i_L G'1' CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE " DESCRIBED RESIDENTIAL PROPER�,1 POWER SIGNATURE /) '� UTILITY CO.NOTIFIED , OF PERMITTEE FINAL I ATTON ARTHUR C. VEIT, K Mo cases SUPERVISING ELECTRICAL ENGINEER O� ry/� �.�I�1�� 'r/�� /��.��_; � Ill.+ .. .76A663-CE806 3-64 /a[1 P `V/�TMN FOR M /�T��14AL Il LSR�/_t�T r. (ice ILi [ice l� ��;/U COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADD EBB JOHN A. LAMBIE. COUNTY ENGINEER r WILLIAM A. JENSEN, SUPT OF BUILDING `�• LOCALITY NEAREST T FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO. I EACH FEE OUTLETS FIRST 20 ffi 20 $ OWNER' LIGHT + MAIL - ADD'L .10 ADDRESS' f SWITCH. ( OVER 20 rte. - .. TOTAL s.{ a CITY , r TEL.NO. LIGHTING FIRST ZO 20 aL J FIXTURES ADD'L OVER 20 10 ELECTRICIAN +� 111 �{ RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY � TEL.NO. ' D18HWASH. AUTO.-WASH. STATE SPACE HTRS. BTA.APP.(+/a H.P.MAX.) .50 LICENSE.NO. MOTORS: OVER NOT OVER H.P. DISTR1CT NO. GROUPZONE PRqCESSED B O 1 1.00 L s 1 3 1.50 INSPECTION RECORD } CL 3 8 2.00 O U s 15 2.50 15 50 3.00 0 U s0 100 5.00 LLI D_ ') SIGNS: NO.TRANS- Z NO.LAMPS SERVICE 0.60OV-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 $ 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING � , ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR I! �+✓• ` LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE o DESCRIBED RESIDENTIAL-PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED 1 y/ 0�1�0 OF PERMITTEE FINAL �Zi7AA �d�,r�a^rJ� VALIDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER a /� M FOR 1��}�nI Igo I J6A663-CE806 3-64 APP Qr, //\\M V l] OR ISIS COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING67 BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. �IJzo RECEPT. TOTAL NO. I EACH FEE - OUTLETS FIRST 20 20 $ OWNER 1 LIGHT � MAIL - ADD'L 10 ADDRESS - SWITCH. OVER 20 - - ' TOTAL CITY TEL.NO. LIGHTING FIRST 20 .20 FIXTURES ADD'L1O ELECTRICIAN OV R 20 ___9 > (, 4v vie< RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS L✓C GARB.DISP. .STA.COOK CITY ` TEL. NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. BTA.APP.(ys H.P.MAX.) .50 LICENSE NO. MOTORS, OVER NOT OVER H.P. DISTR T GRO P Z PR BY O 1 1.00 1 3 1.50 INSPECTION REO D >_ CL 3 s 12.001 O V 8 is 2.50 15 50 3.00 Q U so 100 5.00 w D_ N SIGNS: NO.TRANS. Z NO.LAMPS SERVICE 0.600V-NOT OVER 200A 1.00 SERVICE 0.600V-OvER 200 A. ZOO SERVICE OVER 600V 5.00 MISC. tk PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND"STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM T LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL 0F}OP Y. POWER SIGNATURE (f// �. UTILITY CO.NOTIFIE OF PERMITTEE FINAL LIDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER LA60 6 5 6 9" DEC 8 2 D 4.0 0- J 7GA663-CESOG 7-88 ,APP IICA ITll®N FOR EIl EC 1T1 ROC PERMIT COUNTY OF LOS ANGELES L� ll ll u��llu u;•. DEPARTMENT OF COUNTY ENGINEER ¢ qU'ESSG [ .Qs BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY - • FOR APPLICANT TO FILL IN NEAREST PERMIT FEES cRoss sr. LpcJ 1 T E M NUMBERI EACH FEE OWNER OUTLETS- $ $ - MAIL. LIGHTS ECEPT. SW. .10 �ADDRESS LIGHTING FIXTURES .10 CITY TEL. NO V D ELEC. RANGES CLO. DRYERS ELECTRICIAN WATER H EATERS .50 ADDRESS ' ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA. COOKING UNITS .25 LICENSE NO. ' MOTORS:, OVER INC. H.P. 2DISTRC.LNO� I GFj,�UPr�zpVE-, P ,OCESSEBY 0— I/z .25 Ii2— 2 50 INSPECTION RECORD t 2— 5 1.00 5— 15 1.50 15— 50 2.50 50—200 5.00 SIGNS: NO. TRANS. NO. LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 - FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 ' TOTAL FEE. ' $ �� APPROVALS ' . 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ' CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERT POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE c FINAL VALIDATI ARTHUR C. VETT, CK MO cAsH SUPERVISING ELECTRICAL ENGINEER �_i 0 4 4 nIJI'd 16 2 A .10 . COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. �® �� 3 ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS /,gyp fFIRST INSPECTION / CITY TEL. NO. COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES ADDRESS Jap/�NUMBER EACH FEE _ LOCALITY LIGHT OUTLETSNEAREST S RECEPTACLES I CROSS ST. WALL SWITCHES OWNER � ., T[�A TOTAL OUTLETS Sc $ MAIL ELEC. RANGES 2g ADDRE89�w, ELEC. HEATERS 26 CITYTEL. NO. FIXTURES 5 ` p I 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 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/2 a LESS 111 .25 SI®NATURE OF I/2 2 .50 PERMITTEE. ---- 2 _ -B --- --11.00- - - INSPECTION RECORD s 1J 1.so is 50 2.50 _ s0 200 5.00 200 500 10.130 J 500 1000 15.00 Q Z OVER 1000 20.00 is M.G. SET/FREo. CHANGER-HP WELDERS:AC-KVA GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG-) MOVED MOTORS (75% OF ORIO.) MISC. SINS NO. NO.TRANS. NO, NO. LAMPS _ APPROVALS FOR EACH PERMITS DATE INSPECTOR'S NAME WIRING $1.00 ...r CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY ,50 FIXTURES POWER TOTAL FEE $ UTILITY CO.NOTIFIED A _ FINAL .--�,b 76A663 DBS#5A 4-52 X-1 DBS.BA 11.55 !I"'911 PU C(r T ®Il V FOR R 'E LECT l 11M PE 11 Il I1V11 T DIVISION OF BUILDING AND SAFETY 3 . a Deportment Of County Engineer BUILDING Count Of 1.08 Angeles � ADDRESS i JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN,SUPT OF BUILDING _ LOCALITY / e FOR APPLICANT TO FILL IN NaEOSSEST ST. s ' PERMIT FEES NUMBER OWNER LIGHT OUTLETS MAIL J r J RECEPTACLES ADDRESS (lf tl ,1 I/lie WALL SWITCHES FEE CITY TEL.NO.AT 66!O w TOTAL OUTLETS @ 5o $ ELECTRICIAN ELEC.RANGES I 25 ADDRESS ELEC:HEATERS 25 KW EA CITY TEL.NO. STATE FIXTURES $ LICENSE NO. MOTORS DISTRICTN. I GROUP�I ZONE I READY FOR INSPECTION .NUMBER HORSEPOWER FE E NEW MVD. HP OVER INC. EACH Yi a LESS $ .25 INSP CTION RECORD fi- 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 MISC. bzi A, NO.SIGNS NO.TRANS. NO.SIGNS NO. LAMPS r: FOR EACH PERMIT- ; WIRING $1.00 .FIXTURES $1.00 SUPPLEMENTARY .50 `Q x APPROVALS TOTAL FEE $ !� �d DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING I= ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES :g LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ' CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY. is , SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL a aa:>,c ,Vk4l n JOHN A.LAMBIE.COUNTY ENGINEER IDATION ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR MO CASH {' 9 0 5 2 JUI 1 U 2 1 .15 In WORKERS'COMPENSATION DECLARATION CE-806G to/St APLI l� "AMOOCl.2®� �p 2ryq�p P2R��T I hereby affirm'thet,I have a certificate of consent to self insure, CE-Bose U'' Ir LS or a ce*ificate of Workers' Compensation'lnsurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) ! / q� i• Pplicy No. Company, FOR APPLICANT TO FILL IN JOB ADDRESS �J5 (►c (�.rv'e G/i�[� ❑ ,Certified copy is hereby furnished New Residential Bldgs.&Pools - EACH: NO. FEE. ❑ 1 & 2-Family,Sq.Ft. $ — $ LOCALITY. Certified copy is filed with county building inspection department. Multi-family Sq.Ft. — 'NEAREST,. Date. Applicant Residential Swimming Pools CROSS sr. QiYy�iL Gi .• FIRM NAOR ' FIRM NAM s CERTIFICATE OF.EXEMPTION FROM. Outlets:WORKERS` RecLight� Sw , , MAIL ' COMPENSATION INSURANCE' First 20 2 (jam ADDRESS -• . . (This section need not be completed if the work involved by the CITY Tel.No. ,permit.is'for one hundred dollars($100)or less.) Total No. _ Additional I certify,that in the performance of the work for which this-permit PLAN CHECK is;iS ued, I:Shall not em 10 an APPLICANT " p y y person in any manner,so'as to b ome subject.to,the Workers',Compensat'on Laws. Lighting Fixtures First 20- Z. - - - ADDRESS i Additional Date v �S Applicant Total No. CITY Tel.No. NOT CE .TO APPLICANT: ,If,;:after .making.,this,• rtificate of'. Fixed Appliances Not Over 1 HP PERMIT , Exemption,you should become subject to the Workers'Compensation Range Heater_ DW APPLICANT provisions of the Labor Code, you must forthwith comply with such :Oven Dryer _ W.M._ ADDRESS r provisions.,or this permit shall be deemed revoked. Top FAU W.H. _, CITY Tel.No. LICENSED CONTRACTORS DECLARATION• Hood Fan _ Other_ I hereby,affirm that I am licensed under provisions of Chapter 9 LICENSE OR (commencing,with Section 7000) of Division'3`of the Business and Disp.'— Room Air Cond. REG.NUMBER Class. Professions Code,and my license is in full force and effect. DISTRICT NO. BY Power Apparatus&'Large Appliances ' Size&'Type HP,KW,KVA,or KVAR V - U' License Number Lic.Class Up'to 1 Incl. FINAL Over 1 to 10 Incl. _ Q' DATE . 2�—q VALI TION Q Contractor Date Over 10 to 50 Incl. 'Z (" ❑ FINAL L V I am exempt under Sec. Over 50 to 100 Inc. BY d B.&P.C.for this reason Over 100 C0 Services,Swbd.,MCC.& Panelboards `' D Z Date: 0- 200-Amp.Under 600 V , Signature 201 - 1000 Amp.Under 600 V Over 1000 Amp.or Over 600 V ❑. Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances HOMEOWNER-BUILDER DECLARATION Sign with One.Branch Circuit I herebytaffirm that I am exempt from'the Contractor's License Law AGCToB for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits Code): 3303 . 43.30 ❑ I;as owner of theproperty,will do the work and the structure Misc.,Conduits& Conductors y ITEMS, 1 1 1 Erb is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). D TOTAL.- 43 a CD CONSTRUCTION LENDING AGENCY - CHECK 43030 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec:3097, PERMIT FEE (Sub-Total) CHANGE °�G Civ.C.). PLAN CHECKING FEE Lender's Name GGGG—G001 10/20/95 PERMIT ISSUING FEE 30 X917 1 Rei'9�16 Lender's Address I certify that I have read this'application and state that the above TOTAL FEE +3 I formation is correct. I agree to comply with all County,ordinances and State laws regulating Electrical wiring; and hereby authorize representatives of this County to enter upon the above-mentioned property for in ection purposes.' -.SEE,REVERSE FOR EXPLANATORY LANGUAGE J ,.20- s Signature of Permittee Date WORKERS' COMPENSATION DECLARATION 76A66vorw3ie7 n ��rt �� n ��Or�r, ��� �����^���� ���,��� I herebydaffirm that,I have a certificate of consent to self Ce 806 A LL A N �( PER NT or certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS s or.a'cprtified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS ✓�Qi LOCALITY Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ _ $ I-, r t tion department. Multi-family Sq. Ft. NEAREST G.... CROSS ST. Date Applicant Residential Swimming Pool OWNER OR ° FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: RecALight w. O MAIL COMPENSATION INSURANCE . • /O First 20 a ADDRESS 1 ✓� .}� (This section need not be completed if the work involved by Total No. Additional • 4!5;0Q CITY Tel. No. the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ anyperson in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws. Additional Total No.' CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION Exemption, you should become subject to the Workers' Range— Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven Dryer —W.M.— ADDRESS with comply with.such provisions or this permit shall be Top FAU W.H. deemed revoked. Hood Fan Other L CITY Tel. No. LICENSED CONTRACTORS DECLARATION c/ LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. — Class. REG. NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY >- and Professions Code,and my license is in full force and effect. t1 Size &Type HP, KW, KVA, or KVAR _JW, License Number Lic. Class Up to 1 Incl. FINAL U Over 1 to 10 Incl. DATE VALIDATION tx Contractor Date F- Q Over 10 to 50 Incl. FINAL I am exempt under Sec. Over 50 to 100 Inc. BY U UJI B.&P.C. for this reason Over 100 0- D Z Services, Swbd., MCC& Panelboards Date: Z 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V El Exemption 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY i Appurtenances Power Pole&A p. ppr; y HOME OWNER-BUILDER DECLARATION Tem 1 hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits _'=,'1'r'i `fyn Professions Code): - L ell Misc. Conduits&Conductors �I, as owner of the property, will do the work and the 1.1 '{� a2.0 structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— ' Business and Professions Code). D ;r: ;`K CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending agency for CHANGE the performance of the work for which this permit is issued PERMIT FEE ( (Sub-Total) �� . 0 (Sec. 3097; Civ. C.). > PLAN CHECKING FEE Lender's Name 4C PERMIT ISSUING FEE 00 i= Ht '7 =s= Lender's Address C/1, �i - >f U� 7121 �c I certify that I havL read this application and state that the TOTAL FEE above information is correct. I agree to comply with all.County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above- ntioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sigh'Ilture of Permittee Date ©_