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Tuesa-Lteoe-a-a> APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDIrvG
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE.COUNTY ENGINEER
CASBATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
NEAREST J
FOR APPPL�IC�AT T ILL IN CROSS ST. f/
FM
ITEM NUMBERI EACH FEE OWNER
OUTLET f f MAIL
LIGHTS RECEPT .10 ADDRESS
LIGHTIN6 FIXTURES .10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIA
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS.YDISHWASHERS
GARBAGE DISPOSE" ` AUTo._ CITY TEL.N
STATE
WASHERS BTA.COOKING UNITE .23 LICENSE
LICENSE NO. .J
MOTO S: oven INC. X.P.
O— IA ,25 D ICT NO. GROUP ZONE nEAor voR INarEonoN
h
YB — z 50
2 — 5 1.00 INSPECTION RECORD
5 — 15 1.50
Is — 50 2.50
5O— zoo 5.00 .L� z
SIGNS: NO.TRANS. A-e
NO.LAMPS
SERVICE O-BOOV 1.00 O O v v
SERVICE OVER 5O0V 5.00
MISC. 7 ��
v d
WIRING PERMIT 1.00 f
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .EO -�'v h .' j
TOTAL FEE f I APPROVALS L., r,
a
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AlP CA 0 DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE 0 COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING J "eeP
I HEREBY CERTIF THAT I AM PROPERLT GISTERED AND/OR FIXTURES
LICENSED AS RE 1 D BY LOS ANGELES C TY AND STATE OFZA
CALIFORNIA OR HA I THE L AL F THE ABOVE POWER
DESCRIBED RESI NT L PERTY
SIGNATURE UTILITY CO.NOTIFIED
OFPERMI
FINAL
11T. TI ARTHUR C.VETT.
CK MO CASH
SUPERVISING ELECTRICAL ENGINEER
YI 'CO3 5 9 8 AUS 62 A 1 3.9 0
]BR603-CEtl00-11-$] APPLICATION FOR ELECTRIC PERMIT - 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 7MAIL =
BUILDING
BUILDING AND SAFETY DIgV�IISIONCASSATTAII.GRIIFFIN, Supt WHu ding FOR APPLICANT TO FILL IN /! oc-
PERMT FEES
ITEM NUMBER EACH FEE OUTLETS: n S i
LIGHTS RECEPT.�9W. .10 ADDRESS
LIGHTING FIXTURES .10 CITY TEL.NO.
ELEC.RANGES CLO.ORYERS ELECTRICIAy
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTR6. DISHWASHERS
GARBAGE DISPOSERS AUTO. CITY r - TEL.N/O..��
_
ATE
WASHERS BTA.COOKING UNITS .25 LIIJ-1 NP 1 7J 1 ` _ O
MOTORS: OVER INC. H.P.
DIS RIOT NO. GR UP READY FOR INIMMON
0— Vz 25
Vz — 2 .50
z — a 1.0o INSPRECORD
ECTL
5 — f5 1.50 0
15 — so 2.50
SO— 200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICRO-600V 1.00O
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT I.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE I S yJj APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING /7
1 HEREBY CER THAT 1 AM PROPERLY GISTERED AND/OR FIXTURES -(�
LICENSED AS R U REO BY LOS AN C TY AND STATE OF
CALIFORNIA OR T T I AM THE LEGA ER
ER F THE ABOVE POWER
DESCRIBED REST IAL OPERTY.� 4
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITT
FINAL � d
VMMAARTHUR C.VETT, '
CK Mo GgH SUPERVISING ELECTRICAL ENGINEER
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