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76AG63-CEBOB-6-57 ,APPLICATION FOR ELECTRIC PE,RIMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
NEAREST
nFOR APPLICANT TO FILL IN CROSS ST.
PERNIIT FEES
OWNER r'
LIGHTS RECEPTACLES SWITCHES _ �t
r NUMBER ITEM EACH F E AMAIL
DDRESS
° TO AL OUTLETS / .f0 $
./ ELEC. RANGES, WATER HEATERS, CITY TEL.NO.
k. CLOTHES DRYERS .5O ELECTRICIAN '
f ELEC-3n= HEATERS, STAT'Y. COOK.
ING UNITS, GARBAGE DISPOSERS, ADDRESS ^� +
I AUTO WASHERS, DISHWASHER .25 r ,
LIGHTING FIXTURES- 10 ' a CITY l� 2 "� /TEL�INOa'!. L
/ STATE
MOTORS LICENS9IVO."
HORSEPOWER
H.P. OVER INc. DISTRICT NO: .:•GR7 N READY FOR INSPECTION
+/j Be LESS .25 fi''
1/2 - 2 .50 INS IO E ORD
2 — 5 1.00
5 15 1.50
i 15 50 2.50
a
50 200 5.00
MISC.
SIGNS NO.TRANS
NO.LAMPS
SERVICE O-600V 1.00 /
SERVICE OVER 600V 5.00 J
r WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT 50 APPROVALS
TOTAL FEE g
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION' DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT -37A,3 lf9 +
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING w
ELECTRICAL WIRING. WIRING
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES r3 t'fl.
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERT
SIGNATURE UTILITY CO.NOTIFIED �Jy
OF PERMiTiE FINAL
IOHN A.LAMBIE, ALIDATION ARTHUR d VETT,
.OUNTY ENGINEER S� c Mo cwsH SUPERVISING ELECTRICAL ENGINEER
f
y a-✓
APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER _T p
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
re
FOR APPLICANT TO FILL IN NEAREST
PERMT FEES CROSS ST. /--a 21 L'
ITEM NUMBER I EACH FEE OWNER
MAIL -1 /� - t O P
OUTLETS; $ ADDRESS '7' So
LIGHTS RECEPT. SW. .10
LIGHTING FIXTURES .10 CITY e '0/to 'T TEL.NO. -
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL N0.
GARBAGE DISPOSERS AUTO.-
STATE / _
WASHE& STA.COOKING UNITS .25 LICENSE NO. / .
MOTORS: OVER INC. H.P. DISTRICT NO. IMPI P SED BY
0. 1/2 .25 ..
V2- 2 .50 INSPECTION RECORD
2— S 1.00
5— 15 1.50
is-- 50 2.50 1.
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS ! / / jA/ 4'0&
Jff` ��J
SERVICE 0-SOOY 1.00rL"AlP iv
SERVICE OVER BOOV 5.00
MISC. f
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT rJ I,�-All. 44
ELECTRICAL WIRING. 'WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND)STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF TH$ ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERM[TTE 7
FINA
9e DATION ARTHUR C.VEIT,
c[s Mal CASH SUPBRYISING ELECTRICAp EN6iNEER
LAC61 8 8 6 f AUG 28 2 q 1.5 O N