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A1—�- 1 - - CAT MIT
„ COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
BUILDING AND SAFETY DIVISION L
JOHN A. LAMBIE, COUNTY ENGINEER .
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
FOR APPLICANT TO FILL IN .
NO. EACH FEE
RECEIPT. $ $ OWNER
MAIL A
LIGHT TOTAL FIRST 20 .20
ADDRESS J y
CITY TEL.NO.
SWITCH OVER 20 10 !
PLAN CHECK
LIGHTING TOTAL FIRST 20 ,P0 APPLICANT
FIXTURES } OVER 20 ,10 ADDRESS
RANGE DRYER WTR. HTR. CITY TEL.
STA. COOK_DISP._F.A.U. CONTRACTOR
SPACE HTR. AIR COND. 2• ADDRESS
CLOTHES WASH._DISHWASH. CITY TEL.NO. L
FAN_OTHER 1.00 LICENSE NOmn CLASS..2 V6 �Q
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVEIS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 — 1 1.00 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF `
1 — 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, A INTEND TO b
RESIDE IN, THE ABOVE DESC BED RESIDENTIAL PRO TY.
10 — 50 5.00
SIGNATURE
50 — 100 10A0 OF PERMITTEE - +(� //���JJJ Fyc
100 — 500 15,00 DISTRICT NPR C O. GROUP 20 SE
u
SIGN GAS SIGN AND ONE CIRCUIT 3.00 D v
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
.74
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 6Q FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH' PERMIT VALIDATION CK. M.O. CASH
.ca-S4 y 6r`-2 ril 1 2 0 3.00-
SEE
EE BACK OF APPLICATION FOR COMPLETF FEF SC14FDULF.
' - 'r'r'7 lcA7, 7• "i � �L�
75A663-CESO6 9-67 APPLICATION FOR ELECTRICAL ERMIT'f s &
COUNTY OF LOS ANGELES
= DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING.AND SAFETY DIVISION ADDRESS 4,23
JOHN A. LAMBIE. COUNTY ENGINEER z.
'CIPLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY /
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. �-^�•
NO. EACH FEE „ .
RECEP� S S OWNER
h MAIL R
LIGHT TOTAL FIRST 20 .20 V ADDRESS
SW ITCH.2-- OVER 20 rr .10 D CITY. �( TEL. NO.
OF
LIGHTING JTOTAL FIRST 20 .20. CONTRACTOR
n
FIXTURES OVER 20 .10 ADDRESS-.7>
RANGE_DRYER—WTR.HTR.— CITY TEL. NO.
STA.COOK_DISP.�F.A.U.1— LICENSE NO. as-9 J7
SPACE HTR.-Al—AIR COND. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
,,-- AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH.�DISHWAS H.� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
FAN-OTHER 1.00 oo 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE DESCRIBED RESI NTIAL PROPERTY.
SIZE & TYPE OVER TO
SIGNATURE
0 - 1 1.00 OF PERMITTEE
1 - 10 3.00 DIST. ICT G P N P O E D8 V
10 - 50 5.00 O
50 - 100 10.00 NOTES• l-
VW
100 - 500 15.00 d
N
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
ISSUING FEE 2.00
FIXTURES
SUPPLEMENTARY ISSUING FEE 1.00
POWER AUTHORIZED
PERMIT FEE UTICI'TYCO.NOTIFIED
PLAN CHECK FEE (50% PERMIT FEE) FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
1 Ar,,3 5. 5 .9 CR-1 FE3 2 2 D 2 4.3 a�
?E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE