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APPLICATIO FOR ELEC RIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING -LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FRFS DROSS ST.
ITEM NUMBER EACH FEE OWNER
OUTLETS: MAIL
/ $ S
LIGHTS RECEPT."Y SW. .10
ADDRESS'
LIGHTING FIXTURES 10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS 0
ELEC.SPACE HTRS. DISHWASHERS CITY • TEL NO.
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO. v
MOTORS: OVER INC. H.P. DISTRICT NO. GROUP NE P SED BY
O— va .25
I/x- 2 •50 INSPECTIO CORD
2— 5 1.00
5— i8 1.50
is— SO 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00 J
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 lo n
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT 50
TOTAL FEE S a..0
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 15 CORRECT AND AGREETO COMPLY
I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANIVOR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT! PERPOWER
c..0 dello
SIGNATUREUTILITY CO.NOTIFIED f� J, �,�
OF PERMITTE
FINA
®■ gyjDATON ARTHUR C.VETT,
C
c MO CASH SUPERVISING ELECTRICAL ENGINEER
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4 2 6 5 JUL 2 D 2.2 0Er