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76AG63-CES06 5-64 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT
NG AND SAFETY F COUNTYDIVISIONADDRESS BUILDING
ESB 7.0 GEL. ST'
JOHN A LAMBIE. COUNTY ENGINEER .72!rOW
WILLIAM A JENSEN,SUP T OF BUILDING LOCALITY
FO APPLICANTO FILL IN CROBs 8 41
RECEPT TOTAL NO EACH FEE !�
OUTLETS FIRST 20 ii 20 S OWNER
LIGHT AIL
ADD'L IO ADDRESS
SWITCH OVER 20
TOTAL CITY s C 1 TEL NO
LIGHTING FIRST 2O EO
FIXTURES Aoo'L f0 ELECTRICIAN G
OV R 2O
RAMGE4 +CLO DRYERS WTR kITRS OO ADDRESS 7ij 4 Lam.,,✓
GARB DISP ETA COOK CITY 7
DISHWASH I AUTO WASHSTATE +� TEL NO
SPACE HIMSTA APP (Va H P MAX) � 80
LICENSE NO
MOTORS ovsR NOT OVER x P QISTRICT NO I G UP I ZONE P CESSED Y
O 1 1001 .O
1 s ISO INSPECTION RECORD d
a s 200 u
s Is ago m
is so 300
so too goo D.
N
SIGNSt NO TRANS Z
NO LAMPS
SERVICE O SOOV NOT oven 200A 100 4 90
SERVICE O SOOV OVER 200 A 200 W
SERVICE OVER SOOV Sao G0
MISC U
PERMIT ISSUING FEE 200 Z OD
SUPPLEMZNTAFY PERMIT ISSUING FEZ 100
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION APPROVALS DATE IN 'B Ole
AND STATE THAT THE ABOVE IE CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY RBGIETE AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AN STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNS OF THE ABOVE
DESCRIBED RlI*IDENTIAL-PROPERTY POWER
SIGNATURgo
E
OF PERMITTEE UTILITY CO NOTIFIED
FINAL
VALIDATI ARTHUR C VETT
CK M H SUPERVISING ELZCTRICAL ENGINEER
LAL0 6 9 0 0 0 DEC 17 2 D 4.5 ON "v
78&Sea Deb SA 7-Sr APPLICATION FOR PERMIT
DEPAFfTMENT Ofr BZtII.DING AND SAFETY �������
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN
DIST RI O GROUP ZONE PERMIT NO.
c 1
ELECTRICIAN Cp
RE EIVED BY READY FOR OATS ISSUED
ADDRESS I' FI ! PECT CN
CITY TEL NO
COUNTY LICENSE NO EXPIRES BUILDING ® '
PERMIT FEES ADDREBB
FEE LOCALITY
NUMBER EACH
za
LIGHT OUTLETS NEAREST
_ CROBB ST
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS Al 50 `pAgaf MAIL
ELEC RANGES 88 ADDRESS
ELEC HEATERS 25 CITY TEL. NO
FIXTURES 5 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 REDULATIND ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NuMeea HORBEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
New MvD HP DveR INC eACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
I/se s Lees S 25 AT SIGNATURE OF
ya 2 50 PERMITTEE fes^ TTT��•
2 B IDD INSPECTION RECORD
6 15 ISO _
15 50 2 50
50 SOD 6 00 . -
200 500 1000 J
SOO 1000 15 00
Z
OVER 1 OOO 2000 (;
M G HET/FREq CHANGER-HP Q�
WELDERS AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (75% of vain)
MOVED MOTORS (78% vv omen)
M19C
SIGNS
NO NO TRANS. APPROVALS
NO NO LAMPS
FOR EACH PERMIT DATE INSPECTOR'S NAME
WIRING CONDUIT
FIXTURES mica WIRING
SUPPLEMENTARY 6O FIXTURES
/� POWER
TOTAL FEE s� V UTILITY CO.NOTIFIED �2..
FINAL