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DBS-8.8A 11-88 APPLICATION FOR ELECTRIC PERMIT 1
DMSION OF BUMDngG AND SM=
Depcmtment Of County Engines BUILDING l
County of Taos Angeles ADDRESS
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY
PAPPLICANT'STO FILL 1N NEAREST
PE& D
CROSS ST. I c L c
NUMBER
OWNER
LIGHT OUTLETS MAIL
RECEPTACLES ADDRES
WALL SWITCHES FEE CITY T L O. A 4 `
TOTAL OUTLETS 6 5¢ $
ELECTRICIAN "
ELEC.RANGES 25 ADDRE I
ELEC.HEATERS 25
KW CITY, TEL.NO.
STATE
FIXTURES 9 LICENSE NO.
MOTORS DISTRICT NO. GROUP ZONE READY FOR INSPECTION
NUMBER HORSEPOWER FEE
NEW MVD. HP OVER INC. EACH -
LESS $ .25 II�TSPECTiON RECORD
2 2 .50
2 9 1.00
5 19 1.50
15 50 2.90 -
50 200 9.00
MISC.
1
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00 r Q f5
FIXTURES $1.00
SUPPLEMENTARY .90APPROVAI+s
TOTAL FEE $ V DATE INSP CTOR's SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING E WIRING ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND70R FIXTURES
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE i GAL ER OF THE ABOVE POWER
DESCRIBED RESIDR PER7 !
SIGNATURE UTILITY CO.NOTIFIED �.Sa
OF PERM I' FINAL
JOHN A.LAMBIE.COUNTY ENGINEER VALIDATION ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR
CK MO , CASH
.. _,&7 4 {- JUN26 2 1 .0 0 N