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APPLICATIONF R '. CTRIC` PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT BUILDING AND-SAFETYY DIVISION ER BUILDING
DDD ESS .1 ZO E OLIVE
UGHN A. LAMBIE. COUNTY ENGINEER
CAS$ATT D. GRIFFIN,SOP-T OF BUILDING LOCALITY TEMPLE CITY
FOR APPLICANT TO FI"IN NE RE s.
PERMIT FEES
ITEM NUMBERI EACH FEE
OWNER J
OUTLE S: `�� $ -10 $ MAIL
LIGHTS ; RECESW. J ADDRESS
PT
LIGHTING FIXTURES �' r10 CITY TEL.NO.
ELEC-RANGES CLO.DRYERS - - ELECTRICIAN CSI 7'�LSE+ON ELE R 1 I NT
WATER HEATERS .$O ADDRESS M1.9810 •BL
EL.EC-SPACE HTR&' DISHWASHERS
= '
CITY.-E P�� )N�A
TEL-.NO.NA
GARSAii DISPOSERS - AUTO.-
WASHERS .ST&COOKING UNITS 2$ 'LICENSE NO: 7
MOTORS:- OVER INC- H.P. DT CTNO. IGROUP ONE- P -_C-ESSED BY
M„7
0— /a :2$ I
_�— .so NSPCTION RECOBD
2- s 1.00 .66293--
S
62 _$
-
i$ 1.80
1$-- $O 2-$0 r'
50-200 $.00
$I.GNS: NO.TRANS.-
NO.LAMPS ,
SERVICE 0-600V 1.00 Q
SERVICE OVER 600V $.00
MISC.
WIRING PERMIT 1.00 � 01.
.-
FIXTURE PERMIT Vo0'
SUPPCEMENTARY-PERMi1' -
:80= -.
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE =NSPECTOR-B SIGNATURE `
AND STATE THAT THE ABOVE IS CORRECT AND.AGREE TO COMPLY -
WITH ALL COUNTY.ORDINANCES AND STATE LAWS•REGULATING CONDUIT
ELECTRICAL WIRING. hh �,�.r•�y
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
WIRING ti�� ri”f'•..rti r „n .N! u''t
LICENSED AS REQUIRED BY.LOS GELES COUNTY aSTATE OF FIXTURES t1:�il}�(� �;oi%�j¢'=� -;i~•
CALIFORNIA OR THAT I. LE O R THE ABOVE -
DESCRIBED RESIDENT O ' POWER
SIGNATURE UTILITY CO.NOTIFIED G'' f/
OF PERMI
�v ATION SUPERVISIN C.
ELECTRICAL ENGINEER
' CK - MCk; CASH
t � 4821 AUG 1. O-- 2 D 0 .3.5 t."