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78A888-CE806-f1-,7APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTNIENNT OF COUNTY ENGINEER "ULD'
ULDI N G
B�U,�I�LD�ING AND SAFETY DIVISION ADDREss� ��
VAiii3A1"P D.GRWM°Suup�t 02 Building LOCALITY 'i G .r
NEAREST
FOR APPLICANT TO FILL IN CROSSST..
PERMIT FEES
1 T E M NUMBER EACH FEE
OWNER /GJr[� //�/� EV A
OUTLET S S MAIL
LIGHTS RECEPT. Sw .10 O ADDRESS
LIGHTING FIXTURES .10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIA
WATER HEATERS .50. 'ADDRS -1J6
ELEC.SPAC TRS. DISHWASHERS C Q
GARBAGE DISPOSERS AUTO.- CIT TEL.NQL�. Q ,1
16
WASHERS STA.COOKING UNITS .25 STATE / l0
LICENSE NO.
MOTORS: OVER INC. H:P.
0 1/z 2S DISTR C O. GR P Z NE
2 .50 READY FOR INSPECTION
1/2 — Jr
INSPECTION RECORD
2 — s 1.00
a
5 — is 1.50
is.— so 2.50 Cr) S Mia !14 nn, it,
im-
So— 200 5.00 r_I t
SIGNS:'
NO.TRANS.. yl.. - f7 4-`tir+-I A I^I e
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
e �
WIRING PERMIT 1.00 ag
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE s APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP IC ION DATE INSPECTOR'S SIGNJTURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
ELECTRICAL WIRING.WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING I �o C3 .'
I HEREBY CERTIFY THAT I AN PROPERL REGISTERED AND/OR 0
LICENSED AS RE 1RED BY LOS ANGELES OUNTY AND STATE OF FIXTURESCALIFORNIA OR AT I AM THE LGA 0 NER OF THE AB VEPOWER DESCRIBED REST TIA ROPERTY,
SIGNATURE UTILITY CO.NOTIFIE a
OF PERMITT FINALARTHUC.D j [�
LIDATION SUPERVISING EELECTRICAL ENGINEER
'vCK MO :CASH
6 3 1 0 U NOV 3 2 .A 9.3 0 :°