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0 APPLICATION FOR ELECTRI AL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING c-
BUILDING AND SAFETY DIVISION ADDRESS �J
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF SullDlrvO LOCALITY
FOR APPLICANT TO FILL IN NZAREST / <S
PERMIT FEES OWNER / /✓ -
ITEM NUMBER EACH FEE MAIL
OUTLE S f ADDRESS
LIGHTS RECEP SW. .10
LIGHTING FIXTURES 10 CITY TE .N
ELEC. RANGES CLO. DRYERS ELECTRICIAN,44ae, osvey,WATER HEATERS .50 ADDRESS Z / //C�L[!_ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NDt
POBE" AUTO.. STATE WASHERS STA.COOKING UNITS .2D LICENSE NO. r/ 7 �MOTORS: OVER INC. M.P. DI STR[CTNO. GROUP ZON O — '/2 25
V — 2 .110 INSPECTION RECORD
2 - 5 1.00 O
5 - 15 1.50
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Is — 50 2.50 0
SO — 200 5.00 F"
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SIGNS: NO TRANS. a
NO. LAMPS �
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SERVICE 0.500V 1.00
SERVICE OVER SOOV 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE t
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A PLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE O COMPLY CONDUIT
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WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING o �
I MEREBY CERT Y THAT 1 AM PROP LY REGISTERED ANO/OR
LICEN6EO AS R IREO BY LOS ANGE
COUNTY
AND STATE OF FIXTURES
CALIFORNIA O T T IAM THE LEG O HER OF THE ABOVE
DESCRIBED RE9 E TIA PROPERTY. POWER
SIGNATURE ���,/ UTILITY CO. NOTIFIED _
OF PERMITTE
INA
(DATION ARTHUR ELEC.
C MC CASH SUPERVISINGNG ELECTRICAL ENGINEER
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