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APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 9329 Pentland Ave.
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER `reIIlDle itp
WILLIAMA JENSEN Sw TOF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERM T FEES cRoss sr
ITEM 1 NUMBER EACH FEE OWNER Baldwin
GMAIL
UTTER RECEPr 23 Ew1W 51 s f0 s • O ADDRESS
EIGHTY IAF
LIGHTING FIXTURES 1 14 10 1• 0 CITY TEL NO
ELIC RANGES CLO DRYERS ELECTRICIAXonlee FTC son I'eC C
WATER HEATERS 50 ADDRESS10'4 N VL' ndview Ave*
ELEC SPACE HTRS DISH WAYHER CITYSO, San KdielTEL NO
GARSAOED ISP05ERS1 AUTO 5 STATE 1 C�10
WASHERS 1 STA COOKING UNITS 3 25 LICENSE NO .L375 7
MOTORS OVER INC HP DIS I GROUP ZO E P
FAN &1ahH +i 2 25 .50
v,— 2 Iso INSPECTION RECORD
2— 5 100 2:16 /
B— 15 Iso 4p7—� /QFA py
is— EO 2 ao
50-200 500
NO TRANS / Ai/ n 1 _ r
SIGNS NO LAMPS I Ir 1
SERVICE 0-000V 100 1100
SERVICE OVER EOOV 500
MISC
WIRING PERMIT too 1100
FIXTURE PERMIT 100 1100
SUPPLEMENTARYPERMIT 50
TOTAL FEE I S 10
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 0SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCE/ AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING
I HERESY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR WIRING
LICENSED AY REQUIRED LOS ANGELES COUNTY AND STATE OF FIXTURES \
CALIFORNIA OR THAT
IA`1 A LEO WNER P THE ABOVE POWER
DESCRIBE RESIDENSP P +
SIGNATURE ( II UTILITYCO NOTWI r
OF PERMITTE FINAL I//I t'1 �I
OF CK Mo ATION
cABH IPERVISINO FI rCTR1CAL ENGINEER
LFLo02asH2O a o 10 .75 P
/B't�747J r