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ra88B-eeeoe fo-so APPLICATION. FOR ELECTRICAL P RMIT 1
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER FNEAREST
G `
BUILDING AND SAFETY DIVISION S
JOHN A.LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING Y / / I
FOR APPLICANT TO FILL IN T.
PERMIT FEES OWNER• 1/
WR46AE.t Y i «0A
I T E M NUMBERI EACH I FEE MAIL
OUTLETS+ a ADDRESS 'y� O /all
LIGHTS RECEPT. SW. $10 $ J ,o CITYSOV.4I TEL.190.
LIGHTING FIXTURES '32 .10 ,
ELEC.RANGES CLO.DRYERS
ELl.ECTRICIAN —
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL NO d t S_
GARBAGE DISPOSERS AUTO.- .STATE /`
WASHERS STA.COOKING UNITS ,25 410ENSE NO.
MOTORS. OVER INC. • H.P. ;DIST. T NO ROUP ZW4 PROC SS Y
O_ 1/s ..25" 1 1`C
If p
1/2- 2. .SO INSPECTIO D
2— S 1.00 j DO / ,/ � 0
1.50 �� f. Vii.` �F-d�j',!�c ��j�` V
Is- SO .2.50 00 �,� �a t"t FB � O
So— 200 5.00
' d
SIGNS: NO TRANS. ••yr�
NO.LAMPS 1 �I /`
SERVICE 0-600V 1.00
SERVICE OVER 600V. SAO
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT
SUPPLEMENTARY PERMIT ,Sp i
TOTAL FEE - S
1 HEREBY ACKNOWLEDGE THAT•I•HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE•
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 THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS A. ELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THA THE LEGAL ER OF THE ABOVE:
DESCRIBED REGI PR ER POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMI FINAL
VALIDATION ARTHUR C.VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER.
1
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9A68CeB084`° APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING Ilt
BUILDING AND SAFETY DIVISION ADDRESS o, SF Ayt
JOHN A.LAMBIE,COUNTY ENGINEER �
WILLIAM A.JENSEN. SUP -7
T OF BUILDING LOCALITY / s 1
FOR APPLICANT TO FILL IN uszzr.T,
CROSS s STU N
PERMIT FEES OWNER r, D `a
ITEM NUMBER EACH FEE MAIL
OUTLETS: $ $ ADDRESS
LIGHTS RECEPT. SW. .10
LIGHTING FIXTURES .IO ITY TEL.No-
ELEC.RANGES CLO.DRYERS 'iIIELECTRICIAN �L�L
WATER HEATERS .80 [ADDRESS S,pO
ELEC.SPACE NTRS. DISHWASHERS le-ITY [ ` ' TEL.NO. �d 6s"S
GARBAGE DISPOSERS AUTO.. :;STATE
WASHERS STA.COOKING UNITS .2$ ,LICENSE ANO.
7414
MOTORS: OVER INC. H.P. i DISTRI T N ROUP Z NE PR C FID
Ir:`— 2 so I� INSPECTION RECORD
2 — s 1.00
I O
_ 1.so I L:��i7/drrl� o G,�. 4' h lc r/d V
Is — so , r D:
so — 200 5.06 C7
SIGNS: NO TRANS. N
NO.LAMPS Z
i
SERVICE O.SOOV 1.00
SERVICE OVER GOOV 9.06
MISC.
t
[RING PERMIT 1.00
IXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT ,so
TOTAL FEE $
3 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY, ; CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING .
'. ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM P PER EGISTERED AND/OR
LICENSED AS REQUIRED BY LOS GE C TY AND STATE OF FIXTURES
CALIFORNIA OR THA THE LE L O ER OF THE ABOVE
DESCRIBED REBID I P Y. POWER
SIGNATURE 1 ILITY CO.NOTIFIED
OF PERMITTE
FINAL
' 4.
VALIDATION ARTHUR C.VEIT,
CK No`I CASH SUPERVISING ELECTRICAL ENGINEER
I
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