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GA668-CES0610-62 APPLICATION FOR ELECTRIC PERMI '
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 LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPr. TOTAL I NO. EACH FEE ��•
OUT ETS FIRST 20 $2O $ OWNER
LIGHTffA MAIL
SWITCH. ADD'L ADDRESS
OVER 20 .10
EL.NO.
LIGHTIN TOTAL CITY T
� FIRST 20 .20 _
FIXTURES ADD'L J
OVER 20 .to ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. J STA.COOK /
CITY TEL.NO. Y G
DISHWASH. AUTO.-WASH.QSTATE
SPACE HTRS. Y STA.APP.(V.H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRI,OT N GROUP I PRC S BY
O t i.00
1 s 1.50 INSPECTION RECORD
8 is 2.50 < I
/
`7
50 00 5.00r � O
SIGNS: NO.TRANS. per' v
a
NO.LAMPS - h
SERVICE 0.600V-NOT OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A PLICATION APPROVALS DATE INSPECTOR'_881GNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT '.♦ ,t
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ff..(( �.-..
ELECTRICAL WIRING. WIRING P�3'1` 1�•�r��fl.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQ ED BY LOS ANGE S COUNTY AND STATE OF FIXTURES
CALIFORNIA OR T i AM THE LE L OWNER OF THE ABOVE -
DESCRIBED REI IAL PROPERT POWER
SIGNATURE UTILITY CO.NOTIFIED ',{�� F
OF PERM[TT
FINAL (ems
LIDATION A T14UR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
z/
7GA663-CE606 '4-68 E TCCAL PERMIT
APPLICATION �R ELSC
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 9,7s
C
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
$ $ OWNER /
RECEPT._ MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH_ OVER 20 .10 CITY TEL. NO.
PLAN CHECK
LIGHTING 1TOTAL FIRST 20 .20 APPLICANT
FIXTURES I OVER 20 .10 ADDRESS
RANGE—DRYER—WTR.HTR.— CITY TEL. NO.
STA.COOK_DISP._F.A.U.— CONTRACTOR
SPACE HTR. AIR COND.L— ADDRESS
CLOTHES WASH._DISHWASH._ CITY EL. NO... A
FAN—OTHER 1.00 LICENSE NO. CLASS. -{®
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA ORT,TT II Am E LEGAL OWNER OF, AND INTEND TO
10 - 50 5.00 RESIDE IN, HE ASS E" DESCRIBED A SIDENTIAL PROPERTY.
50 - 100 10.00 SIGNATURE r J!e d
OF PERMITTEE V
100 - soo 15.00 DI STaI C 7�9G P ZO P O E
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 1 f
TUBE, OR V
MARQUEE ADDITIONAL CIRCUITS 1.00D-
NOTES• y
Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
]TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
St.
UPPLEMENTARY PERMIT ISSUING FEE 0o FINAL W 07t/6e�ro
TOTAL FEE JCISEPHI C. RO.OHIAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
(' 1:6 6 0 SEP 2 2 D
ME BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ��