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FS"'M-CUBW9-°° APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING: y
BUILDING AND SAFETY DIVISION ADDRESS v2 NS' lkag
JOHN A. LAMBIE, COUNTY ENGINEER A�
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY M C CITY
FOR APPLICANT TO FILL IN NEAREST
EARS sT. GFS
PERNIIT FEES
ITEM NUMBER .EACH FEE OWNER
FIGG
MAIL
RECEPT. BW. .10 $o ,�O ADDRESS l
FIXTURES 10 CITY C11 TEL NO. Zas
ES. CLO.DRYERS ELECTRICIAN' crz:xp
HEATERS .80 ADDRESS -SAME �,�J
ELEM SPACE HTRS. DISHWASHERS CITY 4� TEL.NO. /// e
GARBAGE DISPOSERS AUTO.- STATE '
• WASHERS STA.COOKING UNITS .28 I LICENSE NO. "ter
MOTORS: OVER INC. H.P. . D1STR1rQ. I GROUP I ZONE I P OCESSED BY
0— I/a .29 O�
va— z 80 INSPECTION RECORD
a— t8 1.80 ,
1-5— 80 2.80 r
SO—200 8.00 � -/
NO.TRANS. TW rI..1 ( J C
SIGNS: NO.LAMPS
SERVICE 0-000V 1.00
SERVICE OVER GOOV 8.00
MISC.
WIRING PERMIT 1.00 1 00
FIXTURE PERMIT 1.00 / 00 '
SUPPLEMENTARY PERMIT .80
TOTAL FEE • S 3 i O O
I HEREBY ACKNOWLEDGE THAT '1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR•SSlGNATURE
AND STATE THAT THE.ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL 'COUNTY ORDINANCES AND STATS LAWS REGULATING ° CONDUIT _
ELECTRICAL WIRING. WIRING �. •'� I� "'�-' +��
I HEREBY .CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR. r
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE'OF-
CALIFORNIA OR THAT I,AM THE LEGAL B
OWNER OF THE ABOVE
FIXTURES.
DESCRIBED RESIDENTIAL PROPERTY. POWER sp
SIGNATURE � UTILITY CO.NOTIFIED r%
OFPERMITTE FINAL J7�t:a •'i %���
�r VALIDA qRTHUIi C.VE.IT,
CK Mo. CASH SUPERVISING ELECTRICAL ENGINEER
LpiCO 4 5 8 0° DEC .21 2 A 3.0 0 M
APPLICATION FOR PERMIT
`r DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FELL IN DISTRI NO. .GROUP ZONE PERMIT N43.
lA
ELECTRICIAN - E fJ .t/I A~ c 3730
R EIVED BY READY FOR DATE ISSUED
ADDRESS '7 a (f PC
&►fcx t(��" // FIRST INSPECTION Q�
CITY / TEL.NO.,��rr ! CJ
COUNTY LICEN 6 NO. EXPIREH!O —30 j` BUILDING // 9 w// �Y rf /;,Vv vva w
PERMIT FEES -
ADDRESS / �T T'
FEE
NUMBER' EACH LOCALITY ' �Yf/1L
LIGHT OUTLETS NEAREST 0 �� I�
93R088 ST. O�
RECEPTACLES r
WALL SWITCHES py.OWNER IIr/i p ]
TOTAL OUTLETS 5e R MAIL_ A
ELEC. RANGES 25 ADDRESS
ELEC. 'HEATERS 25 CITY TEL. NO:
FIXTURES 5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MIS*. APPLICATION AND .STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MDTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
Numumn HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROPERTY DESCRIBE ABOVE.
New Mw. HP oven INC. �nc►1 Is-
• LESS S .25 1 IRIGNATURE o a.�/ O
w �
ya S .s0 PERMITTE
s .. s: 1.00 INSPECTION RECORD
s is lso
is 50 2.50
s0 moo 5.930.
SOC moo 10.00 � J
500 1000 15.00 Z
OVER 1000. 80.00
M.D.: SET/FREQ..CHANGER-NP
WELDERS*AC-KVA O
GENERATORS - KW
T ' NEFORMERS - KVA.
TEMP. MOTORS (75% or oRlo.)
MOVED MOTORS (75Y* of ams.)
MIB*: ,..v
SIGNS
NO. N O.TRANS.:
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT: DATE IN13PECTORPE NAME
WIRING 81.a0' Gd CONDUIT
FIXTURES $1.00. WIRING
SUPPLEMENTARY .50FIXTU REB
POWER
TOTAL FEE Q UTILITY 00.NOTIFIED' '1.
FINAL /��