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DBS.BA12-54 APPLICATION FOR ELECTRIC PERMIT
],
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles
BUILDING G
WM.J. FOX, COUNTY ENGINEER ADDRESS h- I/
CASSATT D.GRIFFIN,SUPT OF BUILDING �i1n
FOR APPLICANT TO FILL IN LOCALITY ��
PERMIT FEES NEAREST / �� /1� /(
CROSS ST. Ii-(/��l/�1
FEE
NUMBER EACH
. LIGHT OUTLETS OWNERy
RECEPTACLES MAIL
' ADDRESS fes"'/ /✓
WALL SWITCHES JJ
TOTAL OUTLETS 56 S I CITY I–r �/ TEL.NO. D
ELEC. RANGES 25 .'ELECTRICIAN
r,
ELEC.HEATERS 25 ADDRESS,+
KW EA
—� CITY TEL. NO.
FIXTURES / 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS
DISTRICT O. I GRP ZON I READY FOR INSPECTION
NUMBER_OF RECEPTACLE CIRCUITS
MOTORS d�
NUMBER HORSEPO.WER -FEE INSPECTION RECORD
NEW MVD., HP OVER INC. EACH
_ ]l2&LESS $ .25
f/2 2 .50
2 5 1.00
5 • 15 1 1.50
15 50 2.50
50 200 5.00
misc.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT,
WIRING $1.00 77�
FIXTURES $1.00
SUPPLEMENTARY .50
O APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 1 SS +,-�C 7�vJViwr C.",
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS 'ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR T AT I AM THE LEGAL OWNE OFTHE ROVE
DESCRIBED RESLD TIAL PROP R Y. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL • Z S 1 --
WILLIAM J.FOX,COUNTY ENGINEER VALIDA -,,9,55. LVl
es►�.. '2 2 +� JA.-
BY
0 i DEPUTY
MA663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITYMl�trte'�I'i'Si-
ST
FOR APPLICANT TO FILL IN CROSS SST. e/ iccipi TA Cxly ,
RECEPT. TOTAL NO. I EACH FEE
OUTLETS FIRST 20 6.20 $ OWNER Cs/d Lr rTI @T"
LIGHT �i MAIL '
ADD'L ADDRESS
SWITCH. Z OVER 20 10 _
TOTAL CITY TEL.NO. 7�Z S
LIGHTING 1 FIRST 20 .20
FIXTURES 1 �r AOD'L
0VFR 20 .10 ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRS. 1.001 ADDRESS
GARB.DISP. STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRB. STA.APP.;(y=H.P.MAX.) .50 LICENSE NO.
MOTORSi OVER NOT OVER H.P.
1 DIST
GROUP SED BY
O f 1.00
s 1.50 INSPECTION R CORD
8 S 2.00
8 10 2.50 L� /
15 SO 8.00
D.
50 100 ¢.00 0
SIGNS, NO.TRANS.
OL
NO.LAMPS O
H
SERVICE 0.60OV-NOT OVER 200A 1.00 W
a
SERVICE 0=600V•OVER 200 A. 2.00 y
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE f
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INBPECTOR'B SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL'COUNTY ORDINANCE6 AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED A8 REQUIRED BY L08 ANGELES COUNTY AND STATE OP FIXTURES • ::'�-
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE g N y
DESCRIBED-RESIDENTIAL PR PERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED n A
OF PERMITTEE Saw 4As
s
FINAL
VALIDAT - ARTHUR C. VEIT
CK M CASH SUPERVISING ELECTRICAL ENGINEER
L,IL;o 6 0 4, VIAR 12 2 0 3.60- a
- �, CEJ`
SA665-CE008 5-52 APPL CATI N Fg ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING j `' r
BUILDING AND SAFETY DIVISION ADDRESS 4 rl
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO.FILL IN CROSS ST.
NO. EACH FEE
RECEPT. TOTAL
OUTLTS FIRST 20 v. $20 $ OO OWNER O 'c-LIGHT MAIL If
A DO'L ADDRESS
SWITCH. OVER 20 -10
LIGHTING
TOTAL FIRST 20 .20 CITY TEL.NO.
FIXTURES ADD'L -io ELECTRICIAN 1
1-11-1
OV R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS ,
GARB.DISP. J STA.COOK
I CITY TEL.NO.
•DISHWASH. T`O•WASH.
d0 LICENSE NO.HTRe.� BTAAP .(y■H.QAX.) BO f
MOTORS, OVER NOT OVER N.P. DISTRICT G E P O
lrO 1 1.00 J V"
I 5 1.50 INSPECTIONL RECORD n
5 8 2.00 GIr. -0
8 1S 2.50 ® Z �� �- 0
15 50 5.00 IU �� u
50 100 5.00 OdO
SIGNSt NO.TRANS. V
NO.LAMPS W
IL
U)
SERVICE 0.600V-NOT OVER 200A 1.00 OQ Z
SERVICE 0-600V-OVER 200 A. --2.00--
SERVICE
.00SERVICE OVER 600V 5.00
MISC.
t
PERMIT ISSUING FEE 2.00 Q
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT p • ��
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING J -
ELECTRICAL WIRING. WIRING,
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE p
DESCRIBED RESIDENTIAL PROP Y. POWER '
SIGNATURE UTILITY CO.NOTIFIED
OFOF PERMIT
t-. FINAL
LIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING'ELECTRICAL ENGINEER
V;160 8 3 6 PAY 2 2 D 16.30-