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Home My Public Portal About10140 OLIVE ST_Electrical__ 76A663-CE)06 10/72 p16.... —� APPLICATION FOR EIEC ICAL PERMIT COUNTY OF LOS ANGELES r DEPARTMENT OF COUNTY ENGINEER JOB Q BUILDING AND SAFETY DIVISION ADDRESS 9 o LOCALITY AAl P 9.14 NEAREST. FOR APPLICANT TO FILL IN CROSS ST, OUTLETS NO. EACH FEE OWNER OR FIRM NAME 7 ®4!?AF r RECEPT. $ $ MAIL ®� LIGHT TOTAL FIRST 20 �FQ 2S. ADDRESS 6 00 ®� yypp CITY � e�ol®& TEL. NO a SWITCH OVER 20 f0 H PLAN 'CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT OVER 20 ADDRESS FIXTURE t0 . RESIDENTIAL APPLIANCES CITY TEL. N0. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR.. AIR COND. , CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE OR REG. NUMBER CLASS., FANOTHER 1.00 '1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW.KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REOUIRED BY LO ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI 1 AM E L AL OWNER OF THE ABOVE I - 10 3.00 DESCRIBED RESIDENTIA OPER 10 - 50 5.00 PERMITEESIGNATURE ♦r O 50 - 100 10A0 DISTRICT NO. PROC SSE BY V LY 100 - 500 15.00 °" SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE SPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS• 1.00 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00UNDERSLAB WORK SERVICEOVER600 VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING gwt. J TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL �r91 PERMIT FEE (SUB TOTAL) �` NOTES: PLAN'CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.. M.0. CASH 4 5 SLP AN 14 2 D 1 .2.0 0 Aro SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A669-CE606 Ii-66 'APPLICATION FOR ELECRMIT s, COUNTY OF LOS ANGELES //�I� DEPARTMENT ER BUILDING AND SAFETY DIVISION ADDRESS O 45. 0/1 I/AM JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINSI SUPERINTENDENT OF BUILDING. LOCALITY Js NEAREST FOR APPLICANT TO FILL IN CROSS ST. jCjnApU RECEPT. TOTAL L /� OUTLE S FIRST 20 NO 11'.20 s �E OWNER G 19 /'rO 13.E 7' LIGHT MAIL SWITCHADD'L 10 ADDRESS 10140 d 1 I OVER 20 _t_ TOTAL FIRST 20 .2o CITY l ' TEL.NO. r2" 6&3 LIGHTING FIXTURES 66 FIXTURES ADD'L 1O CONTRACTOR i 's I OVER 20 RANGES DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA. APDL. .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DIS RICT G . P NE P D O 1 1.00 1 s1.50 INSPECTION 'WORD O S S 2.00 U Im 8 is 2.50 O�-. 15 50 8.00 W O. so 100 5.00 Z SIGNS. NO.TRANS. NO.LAMPS AO A SERVICE 0.600V-NOT OVER 200A 1.00 '� SERVICE O-BOOV-OVER 200 A. 2.00 w SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'SSIGNATYR! TOTAL FEE 8 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP ATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE.LAWS. REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED ANDWOR FIXTURES , LICENSED AS REQUIRED BY L ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM T LEG OWNER F. D INTEND TO POWER RESIDE IN,THE ABOVE DES D SIDENT P PE SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL ��1�- 1 VALIDATI JOSEPH C. ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER -� LQ5 5.2 5�8 OCT27 2 D -5.20,- 9 � V 7GA66C-CE#806 5.61 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDRESS ,� .� `.� JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY — NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES OWNS { 1 T E M NUMBER EACH FEE ADDRAIL ESS y _ �! �' •, •' .'jj OUTLETSe $ $ ` LIGHTS RECEPT. SW. .1O � CITY . (;. T STEL.NO. LIGHTING FIXTURES .10 ELEC.RANGES CLO.DRYERS ELECTRICIAN '' "✓.� ' '® WATER HEATERS .50 ADDRESSsonL 71 ,! r14 ELEC.SPACE HTRS. DISHWASHERS vf CITE GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS, OVER INC. H.P. DISTR GRP Z NE P ED Y 0— ya .25 (f I/a— 2 .so INSPECTION RECORD 2— s 1.00 5— 1S 1.50 Is— so 2.50 O SO— 200 5.00 ~' v w SIGNS: NO TRANS. d N NO.LAMPS Z SERVICE 0.600V 1.00 SERVICE OVER GOON 5.00 M ISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ I� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIPING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT i AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENT.IA`L:PROP"!g•RTY. POWER J SIGNATURE !y+ ,,s��1-1.1 p s 9 i `I OF PERMITTE -! UTILITY CO.NOTIFIED T /J</!,3 { .414 A? FINAL (DATION ARTHUR C.VEIT CK I MO CASH SUPERVISING ELECTRICAL ENGINEER An o5 3 66w mv22 2 D 2.6_0// a 76A163_FE :obi= W/77 APPLICATION F ELE.CT•�_ ICAL PERMIT i • COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FADDRE8',Sffip BUILDING AND SAFETY DIVISION O FOR APPLIGANT7O FILL IN TYNew Residential Bldgs.&Pools EACH NO. FEE ST.1 &2-Family,Sq.Ft. $ .025 — $ T. �• /� /� . Multi-family Sq.Ft. .02 — FIRM NAME UG ,BICE /�� CTIG/C Residential Swimming Pools 25.00MAIL ' q ' ,n ADDRESS• b 0,� RI I iOutlets:Rec__ _L_LightSw. _S!L U.APPLICANT CITY U�' Tel.No.20 .5LAN CHECK Total No. Additional .30. / ADDRESS Lighting Fixtures First 20 .50 3. .15ACITY Tel.No. Additional IT Total No.� 30 APPLICANT YIMI 142 -ve C. Fixed Appliances Not Over I HP ADDRESS;Z% d,611X- Range_Heater_D.W._ CITY ,410 Tel.No. 1&S Oven—Dryer—W.M. LICENSE OR /�, Class. ,!—10Top —FAU —W.H._ REG.NUMBER 3 Hood—Fan _Other_ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. —,Room Air Cond. 2.50 THAT.THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN- ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP,KW,KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Up.to'1 Incl. 2.50 THE LEGAL OW THE ABOVE DESCRIBED RESIDENTIAL ZPROPYA?eA 5.00 c.a Over 1 to 1.0 Incl. Over 10 to 50 Incl. 12.50 PERMITTEEoaep C) Over 50 to 100 Inc. 25.00 SIGNATURE _ Over 100 40.00 DISTRICT NO. PROCESS 8Y9TURE y _ � 9 Services 0-200 Amp.Under 600 V 12.50 IN 201.1000 Amp.Under 600 V 25.00 APPROVALS DATE SI Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE `` 10.00 UNDERSLAB WORK Temp.Power Pole&Appurtenances Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING Misc.Conduits&Conductors 10.00 FIXTURES Other(See Complete Fee Scheduler dPOWERAUTH RIZED UTILITY CO.NOTIFIED FINAL �l�i PERMIT FEE (Sub-Total) NOTES PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE , $7.00 TOTAL FEE 1 _ CASH PERMIT VALIDATION <:::::K: M.O. CASH POLICY HOLDER: 3 2 I-tiY .8 20 r'�VE.I<+H ltltJ �Y[FO IEDULE .47-3/ C q-.5-- LS I ., 76AS03 DBS SA 11-60 APPLICATION FOR PERMIT ' ,DEPARTMENT OF BUILDING AND SAFETY - COUNTY OF LOS ANGELES ELECTRIC J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL,ILN. DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN RECEIV By READY FOR (yDA/TR ISSUED ADDRESS 1`Q .>� t a'ai! ? C.r.r,- 7 ` � V FIRST INSPECTION �' !q1 f CITY !r.(. {:`. '^.^.+J'� TEL. NO. !� COUNTY LICENSE NO. i�� EXPIRES '�� a/ BUILDING /✓// D oi' p PERMIT FEES FEE NUMBER EACH I LOCALITY LIGHT OUTLETS NEAREST � RECEPTACLES CROSS ST. WALL SWITCHES / _ OWNER TOTAL OUTLETS Sc $.= r/C MAIL ELEC. RANGES P5 ADDRESS ELEC. HEATERS 23 �� SCITY TEL. NO. FIXTURES 5 Ur j 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LAS NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PRO)PERTY DEESCRIBED' !ABOVE- NEW MVD. HP OVER I INC. EACH /`y 2 e LE68 $ 25 1 SIGNATURE OF 1` ;' 1/2 2 .50 PERMITTEE '_r i 2 5 1.00 INSPECTION RECORD 5 1s 1.50 \ 15 50 2.50 50 200 1 5 00 200 500 10.00 .J 500 1000 15.00 Q , OVER 1000 20.00 z M. G. SET/FREQ. CHANGER-HP (� WELDERS:AC-KVA - GENERATORS-KW \ TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OFOR:G.) MISC. SIGNS NO. NO.TRANS. I I APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING S1.001 CONDUIT i FIXTURES $1.00 Gt; WIRING SUPPLEMENTARY 50 FIXTURES POWER TOTAL FEE $/a /' UTILITY CO. NOTIFIED -r. FINAL 78A6'62 DBS SA 1I-E0 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER ELECTRIC FOR APPLICANT TO FILL 1 DISTRICT NO. GROUP ZONE PERMIT NO. ,.. ELECTRICIAN + RECEIVED BY READY FOR DATE ISSUED ADDRESS :+ � �j'7, L•dhe4 �1, .�`l^ FIRST INSPECTION CITY .r. /I I q,f11 TEL. NOI/V�f�rrs t/`- a, �� f ✓ , COUNTY LICENSE NO. EXPIRES �/i .5y/.I' BUILDING PERMIT FEES ADDRESS FEE NUMBERIEACHI LOCALITY LIGHT OUTLETS NEAREST / 3 RECEPTACLES CROSS ST. WALL SWITCHES OWNER TOTAL OUTLETS Sc $ .S MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS M ISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMB eR HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER FEE .OF THE RESIDENTIAL PR Y ERTY,DESCRIBEDAEO.VE:'°•' NEW MVD. HP OVER INC. EACH � ! >- 1/2&LESS S .25 SIGNATURE OF 1/2 2 .50PERMITTEE 2 5 1.00 INSPECTION RECORD 5 1s 1.50 is so 2.50 so 200 5 00 200 Soo 10.00 A Soo 1000 15.00 a Z OVER 1000 20.00 M. G. SET/FREQ. CHANGER-HP a WELDERS:AC-KVA GENERATORS-KW TRANSFORMERS-KVA TEMP.-MOTORS (75%OF ORIG.) MOVED MOTORS (75%OFORIG.) M ISC. SIGNS NO. NO.TRANS. I APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES St.00 WIRING SUPPLEMENTARY SO FIXTURES J(/`�,�i,/ POWER TOTAL FEE $ UTILITY CO. NOTIFIED FINAL 76A663 OB13 SA 7-51 - APPLICATIONFOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. 10 1 -5-1 I ' -/ ELECTRICIAN RECE BY READY FOR DATE ISSUED ADDRESS &: FIRST I NSPECTI ON CITYvA4AA4&4z'No. TEL NO. COUNTY LICENSE NO. O EXPIRES ABU'DD DIONS L>I . 6 PERMIT FEES NUMBER EACH FEE _LOCALITY LIGHT OUTLETS NEAREST CROSS 9T. RECEPTACLES WALL SWITCHES �Id. OWNER r TOTAL OUTLETS / Be 9 ® MAIL ELEC. RANGES as ADDRESS ELEC. HEATERS T 25 CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC: EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. %z A LEB6 9 .25 SIGNATURE OF �V V2 2 .513 PERMITTEE $ 5 1.00 INSPECTION RECORD S 15 1.50 15 50 2.50 50 200 5.00 200 5013 113.DO J 500 10130 15.00 Z OVER 1000 20.017 M.G. SET/FREQ. CHANGER-HP �. WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF DRIB.) MOVED MOTORS (75% Or DRIB.) misc. SIGNS NO. NO.TRANS. APPROVALS NO. NO.LAMPS FOR. EACH PERMITI DATE INGPECTORPS NAME WIRING 91.00 [ Cj 0 CONDUIT -s FIXTURES 91.00 / ®® WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE °� UTILITY CO.NOTIFIED )CA 1 'J' '�t� i• '- FINAL �RKER' COMPENSATION DECLARATIQN APPLICATION FOR ELECTRICAL PERMIT I he eby afflTin that I have a certificate of consent to self insure, 76A663 or a certificate of*orker's C'ompensa•on Insurancd, or rtifie COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy.thereof(Sege.3)800 Lab.C.) Folic Ndy d Y mpany Q FOR APPLICANT TO FILL IN JOB ADDRESS �Q e Certified co is hereby furnished. NO. EACH FEE. Py Y New Residential Bldgs.&Pools _ $ $ . LOCALITY ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. NEAREST apartment. Multi-family Sq.Ft. CROSS ST. Date Applicant elgld 191t7/•I/Lf7P Residential Swimming Pools ASSESSOR ry p� MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKS D Outlets:Rec._Light Sw. OWNER OR COMPENSATION INSURANCE FIRM NAME First 20 MAIL (This section need not be completed if the work Involved by the Total No. Additional ADDRESS permit. ermit Is for one hundred dollars($100)or less.) .certify.that in the performance of the work for which this permit CITY Tel.No. is issued, 1 shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS DRE IDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No, Exemption;.you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code,you must forthwith com I with such PERMIT P P y Power Apparatus&Large Appliances APPLICAN provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR /" ADDRESS I hereby affirm that I am licensed.under provisions of Chapter 9 Over 3.to 10 Incl. CI (commencing with Section 7000) of Division 3 of the Business and Tel.N . .Professions Code,and my license is in full force and effect. ° Over 10 to 50 Incl. 1 LICENSE BER B� Clew /0 a Over 50 to 100 Incl. REG.NUMBER Qp J License Number 715-19F3 Lic.Class( Over 100 DISTRICT NO. p' BED BY U �l FINAL / Services,Sw MCC a bo s �o L�+% Q Contracto� ��3[Q/ ; �®1�Tl�lt�r1�tl� F7 e� 0=.399 Amp.Under 6 0 V / �a DATE O F1 I am exempt under Sec. 400-1000 Amp.Under 600 V VALIDATION V Over 1000 Amp.or Over 600 VW FINAL B.&P.C,for this reasonBY X CD BRANCH CIRCUIT FEES (f /Date,• '� 15A,or 20A,12UV,,Lighting or Recept. Z Signature / QYJ «G'�J 1 To 10 Branch Circuits 11 To 40 Branch Circuits ❑ 41Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,.20A,208V To 277V Lighting Br.Circuits 7 SINGLE FAMILY Temp.Power Pole&Appurtenances ACCT a a HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 84.00 I hereby affirm that I am exempt from the Contractor's License Law 330 for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): 1 ITEM d-� F1 1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors - TOTAL 94.00 00 is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule). , IH��' 07e�0 and Professions Code). ��E�HAe�� CONSTRUCTION LENDING AGENCY CHANGE I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec.3097, PERMIT FEE (Sub Total) l Civ.C.) 0000-0001 6/26/96 PLAN CHECKING FEE 713 1 AM11� 6 Lender's Name PERMIT ISSUING FEE () Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL.FEE that the above information is correct. I agree to comply with all County ordinances.and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property /for Inspection purposes. �� SEE REVERSE FOR.EXPLANATORY LANGUAGE J SIGNATURE OF PER I DATE -