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-�swesa Cae sw a-fw • 6� ��APPLICATION FOR PERMIT
DE$ARTMENT OF BUILDING AND SAFETY ELECTRIC
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COUNTY OF LOS ANGELES S+e,fir;
WILLIAM d FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN ;trsd d
RECEIVED BY READY FOR DATE ISSUED
ADDRESS O V G YFIRST INSPECTION P.—
CITY G TEL NO �`, (�
COUNTY LICENSE NO EXPIRES O ABUILDINGD RE B `�+ PJ
PERMIT FEES 1 ,
NUMBER EACH FEE: LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROWST. h
WALL SWITCHES si OWNERe Y
TOTAL OUTLETS 6a • MAIL
ELEC RANGES 25 ADDRESS D
ELEC HEATERS 25 CITY I TEL. NO
FIXTURES 5 1 HERE ACKNOWLE DE THAT I HAVE READ THIS
MIBC APPLICATIO AND STA E THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER'OF RECEPTACLE CIRCUITB AND BTATE LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT I POSSESS TME ABOVE VALID LOS
NYMB6R HORSEPOWER FEE ANGELES COUNTY LICENSE, OR_JLAM THE LEGAL OWNER
New Mvo HIS aveR INC MACH OF THE RESIDEN P O DEBCRI ABOVE.
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S 50 PERMITTEE.
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OVER 1000 2000
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GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (75of oRIth)
MOVED MOTORS (76 or CRIa)
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SIGNS
NO NO TRANS
NO NO LAMPS APPROVALS
FOR [AGH PERMITf DATE INSPECTCR•S NAM[
WIRING R1.00 BQ CONDUIT
FIXTURES S7 00 Q Q WIRING
BUPP E ENT RY so FIXTURES
POWER
TOTAL FEE • S UTILITY Co NOTIFIED
FINAL
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7eweeeceeoslaee APPLICATION FOR ELECT 1 ' PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE. COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PEUCT FEES CROSS ST .
ITEM NUMBER I EACH FEE OWNE
OUTLETS s : MAIL
ADDRES8
LIGHTS RECEPT SW t0
LIGHTING FIXTURES to CI NO
ELERANGES CLO DRYERS ELECTRICIA
WATER HEATERS so Are ADDRESS 2
ELEC SPACE HTR8 DISHWASHERS CITY TEL NO
GARBAGE D18POSERS AUTO STATE
WASHERS STA COOKING UNITS 2S LICENSE NO
MOTORS OVER INC HP DI NO GROUP I ZONE PROCESSED
O— t/s 23
Ia— 2 so INS ON RECORD
2— s too
s— is 150
Is— so 250
50-200 500
SIGNS NO TRANS i G
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NO LAMPS EG y✓ " %✓iEGTO A-7 eld
SERVICED-800V too -/ AUsA}"/I✓G 77/ 1 ?x d
SERVICE OVER 600V goo
MISC
WIRING PERMIT 100
FIXTURE PERMIT too
SUPPLEMENTARY PERMIT SO
TOTAL FEE i
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING
LDE9CRIBED
HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
S REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
OR THAT I AM THE LEGAL. OWNER OF THE ABOVE
RESIDENTIAL POWEE 1 CONOTIFIEDITTE
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'CTRICAL ENGINEER
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,aasaceaos�eoi 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
FOR APPLICANT TO FILL IN CRASST, YYI
PERMIT FEES OWNER
1 T6 M 'V NUMBER EACH FEB MAIL
OUTLE 8 S D ADDRESS
LIGHTS RECEPT SW 10
LIGHTING FIXTURES 10 CITY N
ELEC RANGES CLO DRYERS ELECTRI IAN
WATER HEATERS 80 ADDRESS 11,01
EL+C spatsB DISHWASHERS CITY TEL NO
GARBAGE DISPOSERS AUTO STATE
WASHERS STA COOKING UNITS 1 28 62 LICENSE NO
MOTORS OVER INC H P DIST ICT O 1 G O P ZONE CESSED Y
0 — 1/a 2s
Va — 2 S0 INSPECTIO CORD
2 — S 100
s — Is 150 O
V
In — so 230 O
so — 200 500 `` 1
SIGNS NO TRANS IL.
NO LAMPS h
_ Z
SERVICE O 600V 100 n
SERVICE OVER SOOV 500
MISC
WIRING PERMIT foo
FIXTURE PERMIT too
SUPPLEMENTARY PERMIT S0
TOTAL FEE ffi
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT 1 /17
ELECTRICAL WIRING OR WIRING t Jl
LICENSED AS REI HEREBY QUIRED BY LOS ANGELICO COUNTY FY THAT I AM PROPERLY S ND STATEED 'OF FIXTURES 11 7� 112 �i .lyY/�r��
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE tt ; �/� • ��/
DESCRIBED RESIDENTIAL P PERTY POWER k
SIGNATURE UTILITY CO NOTIFIED P r h
OF PERMITTE
FINAL
VALIDATgN,, ARTHUR VEIT 1
CK MO CAS SUPERVISING ELECTRICAL ENGINEER
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