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5A663-CE606 5-62 APPLICATION FOR ELECTRICAL 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.
RECEPT. TOTAL NO. EACH FEE
LIGHT OUTLLEETS FIRST 20 .20 S MAIL ER
r •7 C� ADD'L 1O ADDRESS.
SWITCH. �/— OVER 20
TOTA CITY TEL.NO.
LIGHTING 1 / FIRST 20 f .20 r-�. r
FIXTURES 1 / VICR 2 ,tp ELECTRIC N
OV R ZO
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS ..
GARB.DISP. STA.COOK
CITY EL.NO.
DISHWASH. / AUTO.-WASH../ / STATE
SPACE HTRS. STA.APP.(Vs H.P.MAX. .50 3 LICENSE NO.
MOTORS, SV9R NOT OVER H.P. DISTRICT NO. I GROUP ZONE PROCESSED BY
O 1 1.00 '-'I S E>
1 8 1.50 INSPECTION RECORD
8 S 2.00
B is 2.50
O
is so 8.00 u
D:
so 100 5.00 O
SIGNSt NO.TRANS• Uj
U
NO.LAMPS a' Ol.
- h
SERVICE 0.600V-Nor OVER 200A 1.00 Z
SERVICE O-SOOV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 I
SUPPLEMEN
TARY PERMIT ISSUING FEE 1.00TOTAL FEE
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ TRIS APPLI TIOP ROVALS DATE IN9PECTOR•S SIGNATURE
ANOSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPCONDUITWITH ALL•COUNTY ORDINANCES AND STATE LAWS REGULATINAr
ELECTRICAL WIRING.
1 HEREBY CERTIFY TH 1 AM PROPERLY REGISTERED AND/OR
LICENSED A8 REQUIRED LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 M THE LEGAL NER F YTIOVE
DESCRIBED OR R Y. POWER '
SIGNATURE f3
UTILITY CO.NOTIFIED
OF PERMITTEE q
FINAL •6. S
ARTHUR C. VETT
SLIDATION
MO CASH SUPERVISING ELECTRICAL ENGINEER
UL00 0 7 2- JAN 23 2 0 17.0 0"