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76Aaaa CEBOa-DBT APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS TC
JOHN A LAMBIE COUNTY ENGINEER
CASSATTO GRIFFIN 'up or
LOCALITY l..
NEAREST /1 I/v&_
FOR APPLICANT TO FILL IN NEARS sr �Y V
- PERMIT FEES
ITEM INUMBERI EACH FEE OWNER 6-RI FPI N
OUTLETSn S S MAIL SAM/�
LIGHTS Z RECEIPT SW 1 1G 'D ADDRESS
LIGHTING FIXTURES 10 CITY TEL NOW 6 IM
ELEC RANOMB . CLO DRYERS ELECTRICIAN A S
WATER HEATERS 50 ADDRESS1,53 S
ELEC SPACE HTRB DISHWASHERS
GARBAGE DISPOSERS AUTO- CITY !G(.. TEL NO ,&/
WASHERS ETA COOKING UNITS 2a STATE /f ��
LICENSE NO L�
MOTORS OVER INC H P
O — V. 2a I GNO P RaADr.DR iNsaDn DN
2 — a too 'Y f� INSPECTION RECORD
5 — la 150 --
1a — 50 250 i
50— 200 500 r r
SIGNS NO TRANS
NO LAMPS
SERVICED SOOV Vim. 100 D'6
SERVICE OVER SOOV 500
MISC
WIRING PERMIT 100
FIXTURE PERMIT 100 p�
SUPPLEMENTARY PERMIT 50
TOTAL FEE Is Q APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR SSIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY AT I AM PROPERLY REGISTERED AHD/OR FIXTURES
1..
LICENSED AS REOU E BY LOS ANGELES COUNTYAND STATE OF
CALIFORNIA OR T AM THE LEGAL OWN 0 ITHE ABOVE POWER
DESCRIBED RESIDE 1 P OPERTY
SIGNATURE UTILITYCO NOTIFIED 'Z
OF PERMITTE FINAL
YzNMATIONKAON ARTHURC VETT
CK MO ;CASH ARTH R C ELECTRICAL ENGINEER
� ,'pit2f8 5fit' MAY 27 2 A 4.20 7{
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76A663CE-M(I1 78' APPLICATION_FOR ELECTR_IC_A_L PERMIT + +
COUNTY OF LOS ANGELES BUILDING AND SAFETY
.1
FOR APPLICANT TO FILL IN ADDRESS
New Residenhal,Bldgs 8 Pools
EACH NO FEE -' �-
1 8_2 FForr Sq Fr $ 025 - E LOCALITY �-
Mul�i fomdy Sq,Ft O2'- - NEAREST
Residential Swimming Pools„ 2500. CROSS ST - `
-- r- OWNEROR --�r-
/�, ' FIRM NAME
Outlets Rec_�ighr_,c�c_Sw i _ _ MAIL__
First 20 50 O ADDRESS^ ~
Total No --.• 30 CITY- - ,.ter.,^ -i+.+ Tel No .-
Additional• ^-r^^^- ---
PLAN HECK
APPLI ANT
Lighting Fixtures - First 20 • 50 d1 ADDRESS
/�
_ 30
Toml No_ZO Additional -
CITY Tel No
Fixed Appliances Not Over,) HP- »- - -.-r-.. - + r..+-+•-- PERMIT-- - --- - - +-- -- .'---
Range_Heater_D W APPLICANT - t O �- 01 '
Oven- Dryer—W M n ADDRESS- �Q S' M O!✓�T-� �.
Top _FAD �W H CITY _ --.0-y _ _Tel No,
_ L�
� Hood_'Fon _Other_ LICENSEOR /
- Dsp _Room AirCond 250 _ REG NUMBER
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances { TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY, WITH'ALL-COUNTY-ORDINANCES AND STATE-LAWS 'Y
Size 8 Type HP KW kVA or KVAR _2 50 REGULATING ELECTRICAL WIRING P' O
Up to'I_Incl --I HEREBY CERTIFY THAT I AM PROPERLY-REGISTERED AND/OR ^'U
�$![ArOver 1 to 10 Ind - 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF y
-Over 10 to 501nd- • 12 50- __ _ _ CALIFORNIA OR THAT I'AM THE LEGljL OWNELOF TJfE ABOVE - 0
DESCRIBED RESIDENTIAL PROP TY
Over 50 to IOD Inc 25 00 a r
_ 4000 _ _ PERMITEE- _
Over 100 -"" SIGNATURE _ T _IL
Services -"'�' 12 50 - DISTRICT NO- - PROCES D BV r -^
0 200 Amp Under 600V
201 1000 Amp-Under 600 V _2500-
I
2500- -
Over 1000 Amp or Over 600 V 5000 20 R 8 0,45 A
Temp Power Pole&Appurtenances 1000-
Sign
000.Sign with One Branch Circuit + ,
1000
Add mond)Sign Branch Circuits 4 . :]T `2 00. • INSPECTION___j
1 D 00 INFORMATION �� • • 3 1 5 0 E7�
Mnc Conduits 8 Conductors 'ON REVERSE; x
Other(See Complete Fee Schedule)_ r _ 1
SIDE}- T rx �� 2 C�-'�
- 9
PERMIT FEE '31a •ISub TotaD. tIV
ro _j
PLAN CHECKING FEE (One FOuft tPPermT Fee_3 n O
- - I I -'r-
PERMIT
'r PERMIT ISSUING FEE „• .. :+rr 57 00.- .. �t
TOTAL FEE >
INSPECTION FINAL//EDy /'' f t •s
,
date' 3 1 ' 'b�-' By �C�¢- -ar.f�, • �'* , k' t �r