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APPLICATION FOR ELECTRIC PERMIT 1'
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISRE
ION ADDSS 9327 P ntl and AV
JOHN A LAMBIE. COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING FLOCALITY Tem a bit
FOR APPLICANT TO FILL IN NEAREST
PERMIT FE. CROSS ST p
ITEM rvuNRER EACH PEE OWNER JJ 1 W
in
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LIEEGHTS1 RECEPT2 SWl 1 s 10 t 10 ADDRESS
LIGHTING FIXTURES 14 11. t0 CITY TEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN Conlee & Son Electric
WATER HEATERS a0 ADD�RRESS10 0 N. Grandview Ave.
ELEC EPACEHTRE DI¢HWADHER CITYJO• San GabrlelTEL NGAt.0-200
GARBAGE DISPOSERS1 AUTO
STATE 1 6 C-10
wADHERe STA COOKING urvlTe 25 LICENSE NO
MOTORS OVER INC H P DISTR O GROUP NE
2. Pan P-11AM 2
25 O 9✓
1/.— z 150 INSPEMON RECO I// /f
2— a 100 A11 4
a— fa 150 If
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ta— ao zao rte l�1e
50-200 SooWf �%�`�
SIGNS NO TRANS A -11 11 //� 1 y
NO LAAIPS t/ ('IT V V
SERVICE O-BOOV 1 100 1.00 1
SERVICE OVER GOOV 500
MISC
WIRING PERMIT too 1 00
FIXTURE PERMIT 100 1 00
SUPPLEMENTARY PERMIT 50
TOTAL FEE Is
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING �(
I HERESY CERTIFY THAT 1 AM /NOPERI.Y REGISTERED AND/OR WIRING Z/ J AZw-
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OR FIXTU \
CALIFORNIA OR THAT 1 THff_LEGALf0WNZR OF THE ABOVE
DESCRIBED
R¢Slo[Nn f POWER
COYN IFIEDSIGNATURE Ile ^
OF PERMITTE
FlNAL
®. ATION ARTHUR-C VEIT
CK MG cAEH SUPERVISING ELECTRICAL ENGINEER ,j
Xao 2 4 7 JUL 2 0 2 D l 0.7 5 �g