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APPLICATION F®R .ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE,COUNTY ENGINEER
WILLIAM A.JENSEN. SUP'TOF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS$T'
PERMIT FEES
OWNER
ITEM NUMBER EACH FEE MAIL +�
OUTLETS! �.JJ' $ S ADDRESS
LIGHTS RECEPT.Ot SW. .10
LIGHTING FIXTURES .10 CITY L;L..+ EL.NO
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS ,
ELEC.SPACE HTRS. DISHWASHERS •CITY TEL.NO.
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO. '
MOTORS: OVER INC. H.P. ;]:)I I�CT,�/10. P NE P CESSED BY
O — 1/2 .25
y° - 2. .50 INSPECTION RECORD
2 — 5 1.00 per,
5 — I5 1.80 O
V
is - SO 2.50 109
SO — 200 5.00
W
SIGNS: NO TRANS. - h
NO.LAMPS
Z
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIR PERM! 2.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE II
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE i8 CORRECT AND AGREE TO COMPLY -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING pv
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
'LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT IAM THE,LEGA WNER OF THE ABOVE
DESCRIBED RES1 L PROP TY. 000, POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITT v yr r r
Fl NA
,VALIDATION ARTHUR C.VEIT.
/MO CASH SUPERVISING ELECTRICAL ENGINEER
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BA CE906 1049 APPLICATION FOR ELECITRIC PER - IT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /��zi�_ O / .
BUILDING AND SAFETY DIVISION ADDRESS 1p C/O /.yl•P
JOHN A. LAMBIE, COUNTY ENGINEER f
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PFJWT FEES CROSS ST.
ITEM NUMBER I EACH FEE OWNER
OUTLETS, $ $ O MAIL
LIGHTS RECEPT. SW. ,1O ADDRESS
LIGHT/ FIXTURES $ .10cvACITY TEL.
CLO.DRYERS ELECTRICIAN
t .H EATER .50 ADDRESS
EC.SPACE T HWASHERS CI TEL.NO. 57
ARBAGE DISPOSE UTO. _ STATE 2
ASHERB A.COOKING UN .25 LICENSE NO. 7
MOTORS: OVER INC. H.pIS_T(] ]D TNQ, GRO P
V$— z .50 INSPECTION RECO.
2— 5 1.00
5— Is 1.50
Is— so 2.50
SO—200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-SOOY /L96P 1.00 !
SERVICE OVER GOOV 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT :1.00
SUPPLEMENTARY PERMIT ,50
TOTAL FEE Is 64
I HEREBY.ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICA.ION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY � 1
WITH ALL COUNTY' ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRINGS
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR AA
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES Z
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER p
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE FINA
ATION ARTH R C.VEIT,
CK Mo CASH SUPERVISING ELECTRICAL ENGINEER
OO28SD DEC 22 2 0 12.65 M