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APPLICATION FOR ELECTRICAL PERMIT 1
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D BUILDING AARTMENT ND SAFETY DIF COUNTY VISION ENGINEER ADI DRESS' 72G JV649L /dam
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FIXTURE PERMIT too
SUPPLEMENTARY PERMIT S0
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 8 SIGNATURE
AND STATIC THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING WIRING 7
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR /�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES !�� 0.1,.
CALIFORNIA OR THAT 1 AM THE LEGAL OYVNRR OF 8 ABOYE
DESCRIBED RESIDE P OP6 POWER
SIGNATURE UTILITY CO NOTIFIE L
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE CouNTY ENGtNBER r1
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
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FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT sp
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I HRRRBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 2APPROVALS DATE INSPECTOR 6 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING COND
ELECTRICAL WIRING WIRI
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED A8 REQUIRED B1fJ L08 A COUNTY AND STATE OF FIXTU
CALIFORNIA OR THAT I AM THE 6 OWNER OF THE ABOVE
DESCRIBED RESIDE POW
SIGNATURE UTILI
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS .7 f
JOHN A LAMBIE•COUNTY ENGINMR
WILLIAM A JENSEN SUP TOP BUILDING LOCALITY i
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES os8
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ITEM NUMBER EACH FEE MAIL
OUTLETS$ s s ADDRESS
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WATER HEATERS s0 ADDROSS��� �a 1+'C T
ELEC SPACE HTRS DISHWASHERS CITY �✓ C 1(I TEL NO
GARBAGE DISPOSERS AUTO STATE
WASHERS STA COOKING UNITS 25
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MOTORS OVER INc H P DISTR T G QUP ONE P CESSED Y
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SIGNS NO LAMPS Z
SERVICE O SOOV Soo
SERVICE OVER 800V Boo
MISC
WIRING PERMIT too
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT sp
TOTAL FEE s y
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 8 SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI P OPEBTY POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTER
1 1
VALIDAT� ARTHUR VETT
CIC MO CASH SUPERVISING ELECTRICAL ENGINEER
LAGO 5 1 0 0 APR 10 2 D 2 25