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LE Co RICTRICAL
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F6A663-CES06 8-62 APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /.-
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A,JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST, e
RECEPT. TOTAL NO.. EACH FEE /
OUTLETS FIRST 20 $.20 $
OWNER
LIGHT MAIL
ADD'L 10 ADDRESS i
SWITCH. OVER 20
LIGHTING
TOTAL CITY / TEL.NO.
l FIRST 20 .20
FIXTURES 1 ADD'L .10 ELECTRICIAN
0V9R 20
RANGES CLO.DRYERS WTR.HTRB. 1.00 ADDRESS
.DIBP STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.-WASR. / O� STATE.
SPACE HTRB BTA.APP.(V.H.P.MAX.) .SO-
LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIS RICT NO.. I G UP I ZQPIE I 12,299"SE-D"
O 1 Loo f
1 3 1.50 INSPECTION RECORD
s 6 2.00
s 15 2.50
Is 50 3.00
d
50 100 1. 5.00 O
V
SIGNS, NO.TRANS-
NO.LAMPS �O
SERVICE 0.60OV-NOT OVER 200A 1.00 1v
SERVICE 0.600V-OVER 200 A. 2.00 a
N
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00 -Z V
SUPPLEMENTARY PERMIT ISSUING FEE 11.00
TOTAL FEEd8
'1 HEREBY ACKNOWLEDGE'THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE .INSPECTOR'S I310HA
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT A
WITH ALL•COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED A8 REQUIRED BY LOB ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED s9
OF PERMITTEE r
FINAL F� h
VALIDAT ARTHUR C. VEIT
MO
SUPERVISING ELECTRICAL ENGINEER
CK CASH
Livo 8 APR 8 2 D 3.0 ON
IA668-CES06 6.62 APPLICATION FOR ELECTRICAL P RMIT .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
r
BUILDING AND SAFETY-DIVISION �(p
JOHN A. LAMBIE..COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING
FOR APPLICANT TO FILL IN
RECEPT. TOTAL hin: EACH FEE'
�// OUTLETS F'IRS'T 20S.2C S (f OWNER
LIGHT !SWITCH. fy-
® OVER ADD'L Ao ADDRESS / e'>t vAee^
>3 -- �
LIGHTING
TOTAL FIRST 20 .20 l CITY TEL.NO.
FIXTURES / /J ADD'L .10 ELECTRICIAN
OV R 20
.RANGES C•O.DRYERS WTR.HTRS: 1.00 NO*
ADDRESS �( 9 e p
RB.DI STA,COOK /
PACE r � Cin
TEL.NO.
DISHWASN. TA ( ' STATE
S .PPF1/y MP.MAX.) .60
LICENSE.NO.
MOTORS, OVER NOT OVER H.P. DISTRI T O. GROUP ZONE P CESSED.BY .
Oa-�/�1 1..0o }
r s 1.50' INSPECTION RECORD f
s a 2.00 .� ZA
a I s' 2.50 - d
15 50' 5.00
�l `i/I' 8
50 100 5.00 U 109
O
SIGNSI
NO.TRANS.' 1 r r I
�rz/g, ]y
80
NO.LAMPS i.Y lig r1 <.:r_ iY ��-
t i In
SERVICE 0.600V-NOT OVER 200A 1.00 r z
SERVICE O.600V-OVER 200 A. 2:00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEEIII
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION APPROVALS DATE INjE R'8 SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AMC) AGREE 70 COMPLY CONDUIT /
WITH ALL-COUNTY ORDINANCES'AND STATE LAWS REGULATING
ELECTRICAL WIRING. - WIRING ,!
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ' n v. �.r
LICENSED A8 REQUIRED BY L08 ANGELES COUNTY AND STATE OF FIXTURES ° .. " 77
LICENSED
CALIFORNIA OR THAT 1 AM THE.LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATUREi �/. UTILITY CO.NOTIFIED d '4
OF PERMITTEE'
FINAL ,Q
IDATION ARTHUR C:VEI
CK. MO. .CASH SUPERVISING ELECTRICAL ENGINEER
LAAO 4.4.2 5 G JAI-415 2 a 12.10-