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APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE Ccum"ENGINEER I
CASSATT D GRIFFIN SBFT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST �
PER= FM CROSSST
ITEM NUMBER EACH I= OWNER
OUTLETS ; $ MAIL
LIGN RB SW f0 ADDRESS
AU !ZZ
LIGHTING FIXTURES t0 CITY TEL NO
ELEC.RANGES CLO DRYERS ELECTRICIAN
WATER HEATERS I So ADDRESS
ELEC.SPACE HTRS DISHWASHERS CITY TEL NO
RBAG6 DISPOBB_ AUTO STATE
wA8How BrA cooKING uNTrs Z 28 LICENSE NO
MOTORS OVER INC HP DIS RIC NO I G UP I &ONE I P ESSE Y
0— va 25
+ — 2 so
2 f9 MSP=ON BBCOBD v.lw
2— B 100 �,
5— IB Igo ,y 8
IB— so 250 MAW
I
go—200 Boo t
SIGNS NO TRANS
NO LAMPS OF
r
SERVICE O 800V 100
SERVICE OVER 800V Boo
MISC
s
WIRING PERMIT 1 00
FIXTURE PERMIT 100 w el
SUPPLEMENTARY PERMIT BO
TOTAL FEE s
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP ICA O APPROVALS DATE INSPECTOR 8 SIGNATURR
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ZZ
ELECTRICAL WIRING I
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AN THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMIT7'E
FIN +r
®. �►Rr URCOIDATION
MO CAS11 UPERVISING RICAL ENGINEER
' AP7273A NOV 2 A 895
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