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DEPARTMENT OF BUILDING AND SAFETY ��������
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
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ADDRESS FIRST INSPECTION
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COUNTY LICENSE NO EXPIRES O .3 BUILDING
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
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WALL SWITCHES OWNER
TOTAL OUTLQM 5e ! MAIL
CLEC RANGERI.AOA'l28 ADDRESS
ELEC HEATE 8 1V 25 CITY TEL NO
FIXTURES 5 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS
MIBC APPLICATION AND STATE THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CKRCUITS AND 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 LOS
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'226ea DBB BA 7 51 APPLICATION FOR PERMIT
DEPARTMENT OF SIIILDING AND SAFETY ��������
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
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FIXTURES ?' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
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NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
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FINAL /
760t63 DBS SA 9 Iii APPLICATION FOR PERMIT
DEPARTMENT OFBUILDING AND SAFETY ELECTRIC i
COUNTY OFFLOSLOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
ELECTRICIAN Arz
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TOTAL OUTLETS SC B MAIL
ELEC RANGES gg ADDRESS
ELEC HEATERS $5 S CITY TEL NO
FIXTURES I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC 4 APPLICATION AND STATE THAT THE ABOVE 16 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS&I AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID Lab
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