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1'SASBS.CE904-9-87 APPLICATION FOR-ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESSam
JOHN A LAMBIE.COUNTY ENGINEER i
CASSATT D GRIFFIN,SUP T OF BUILDING LOCALITY �L
FOR APPLICANT TO FILL IN
NEAREST
ROSS sT �✓ '
PERM FEES
ITEM NUMBER EACH FEE OWNER '
OLlmrrUGHTS RECEPT 10%W*r : 10 s O O ADDRESS
LIGHTING FIXTURES 10 CITY TEL NO /�
CLEC.RANGES , 'CLO DRYERS ELECTRICIAN O'p 7 L ly Z L �C
WATER'HEATERS s0 ADDRESS Z Of J-1 lWAPVX0LC SPACE HTRS DISHWASHERS jj��
GARBAGE DISPOSERS AUTO- CITY TEL"'��V 7-S ('
WASHERS STA COOKING UNITS 29 Z. STATE If
MOTORS OVER INC HP LICENSE NO
ZE
ONE I
1 0— 1& 25 ` .� S GRP
ZREADY FOR INSPECTION
1/s — 2 so ' 0 *1
2 — s 100 TION BWO
5 — is ISO ivy-
is — so 250
go— 200
Boo
SIGNS NO TRANS
NO LAMPS
SERVICE 0-000V 100
SERVICE OVER OOOV 500
MISC s iKv�
�✓ Znt
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WIRING PERMIT 100 /1 TipV ` Z ZAA
FIXTURE PERMIT 100 /
SUPPLEMENTARY PERMIT so
TOTAL FEE f t A"110V=
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LICATIO DATE INSPECTOR SSIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUI
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING v
1 HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR FIXTURES S /
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
D$SCIUBED RESIDENTIAL
PROPERTY CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF THE ABOVE POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEW FINAL
f�TIH ON ARTHUR C.VEIT.
SUPERVISING ELECTRICAL ENGINEER
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