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7SAG6a CES06-9-57 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS 0
JOHN A LAMBIE.COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
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PE UM FEES
ITEM NUMBER EACH FEE OWNER /
OUTLET S S ^ MAIL
LIGXTB RECEPT Bw 10 ADDRESS
LIGHTING FIXTURES 10 CITY O TEL NO
ELEC RANGES CLO DRYER8 ELECTRICIAN
WATER HEATERS s0 ADDRESS D
ELEC SPACE HTRS.3 DISHWASHERS
CITY TEL NO
GARBAGE DISPOSERS AUTO.
WASHERS STA COOKING UNITS 2B Lw STATE
LICENSE NO
MOTORS OVER INC H P
0— 1/2 28 1
ICT NO GR E i I READY FOR INSPECTION
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W — 2 SO
2 — s 100 INSPECTION RECORD
9 — 18 150
15 — SO 250
go— 200 500
SIGNS NO TRANS
NO LAMPS
SERVICE 0-000V 100
SERVICE OVER GOOV Boo
MISC
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WIRING PERMIT 100 Q
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT SS r
TOTAL FEE S APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP CATION DATE INSP TURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT Z�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
[ HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURESV Of
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIAOR THAT I THE GAL OWNER OF THE ABOVE POWER
DESCRIBED RSTIA
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE FINAL
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VALIDATION ARTHU C XIT
a CK YO CASH SUPERVISING :LM=RICAL
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78A888 CE808 4 BS APPLICATION FOR ';�'7
ELECTRICPERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALITYca--ex-
NEAREST
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NEAREST
FOR APPLICANT O fILL IN CROSS ST /} `
RECEPTACLE TOTAL NO EACH Fee
OUTLETS FIRST 20 S 20 S OWNER
LIGHT MAIL
SWITCHADD L 10 ADDRESS
OVER 20
TOTAL FIRST 20 20 CITY TEL NO
LIGHTING 1 FIXTURES
FIXTURES I ADD L 1O CONTRACTOR
OVER 20
RANGES CLO DRYERS NRR HTRS too ADDRESS '7
GARB DISP STA COOK CIA015;94f"10 TEL NO
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP (VA H P MAX) SO LICENSE NO
MOTORS OVER NOT oven H P DISTRICT Npooj GROUP 2�7 1= B
O 1 100
1 s 150 INSPECTION RECORD
s S 200 —J y ' t-7-OL,®,
a —115 250
18 SO 1300 ^
` a0 100 500 �+
OC
SIGNS NO TRANS
NO LAMPS
SERVICE O SOOV NOT OVER 200A too d
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SERVICE O SOOV OVER 200 A 200 Z
SERVICE OVER GOOV Boo
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 1200
SUPPLEMENTARY PERMIT ISSUING FEB 1100
TOTAL FEE S APPROVALS DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT AO
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Zoe
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO POWER
RESIDE IN THE ABOVE DESCRIBEDID L PROPERTY
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE
FINAL
VALIDATION JOSEPH C ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
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76"63 DBE 5A 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BIIII.DING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN
DISTRICT NO GROUP I ZONE PERMIT ND.
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ELECTRICIAN =-i' ( C S��l SS
REfil I ED BY READY FOR AT ISSUED
ADDRESS FIRSTINBPECTION y
CITY TEL.NO - • ) 0 `
COUNTY LICENSE NO EXPIRES ILDIN / II!
B G
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS 0 NEAREST -414, BEr
RECEPTACLES CROSS 8T A06,509.9w
WALL 13WITCHES OWNER
TOTAL OUTLETS D ADDR
E 6 MAIL E88
ELEC RANGE8 gB [� • :IAV �/.
ELEC HEATERS 25 'L CITY TEL NO �YO'rZ
FIXTURES ' I 5 a 1 HEREBY AC WLEDGE THAT I HAVE READ THIS
MIBC APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS JAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT i POSSESS THE ABOVE VALID LOB
NuME6R HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEw MVD HP OVER INC L^CH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
Y A LEES 6 25 SIGNATURE OF 1 ��
2 50 PERMITTEE
2 B 100 INSPE ION RECORD
_ 5 15 ISO
15 50 250
50 200 Sao
200 BOD 10 00 J
500 1000 1500 Q
Z
OVER 1000 20 00 0
M O BET/FREQ CHANGER-HP
WELDERS AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (75% or CRIB)
MOVED MOTORB (75% DF ORIo)
MIBC
SIGNS
NO NO TRANS
NO APPROVALS
NO LAMPS
FOR EACH PERMIT DATE INSPEC R'B NAME
WIRING $100 CONDUIT JA
FIXTURES Igloo WIRING
SUPPLEMENTARY 5p FIXTURES
c POWER
TOTAL FEE *
4 =� uTILITY CO NOTIFIED
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FINAL f