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76AGGS-CE806-8.$7 APPLICATION FOP'. ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING'
BUILDING AND SAFETY DIVISION ADDRESS ff
JOHN A.LAMBIE..COUNTYENGINEER
CASSATT D.GRIFFIN,Sup-.T OF BUILDING LOCAL17Y th
NEAREST
FOR APPLICANT TO FILL IN cRoss sT.
PERNIIT FEES
>• LIGHTSRECEPTACLES SWITCHES OWNER'
NUMBERI ITEM EACH FEE MAIL _
-30 TOTAL OUTLETS. $ ,l0 $ ADDRESS Q Ca V,
++ ELEC. RANGES, WATER HEATERS. A CITY ` TEL.-NO.
0
0' CLOTHES DRYERS .50
ELEC. SPACE HEATERS;STAT'Y. COOK- ELECTRICIAN
- INS UNITS,'GARBAGE-DISPOSERS. ADDRESS
AUTO WASHERS, DISHWASHER .21t _
LIGHTING FIXTURES .10 ® CITYdr TEL.'NO. \j)f/
MOTORS STATE /r
LICENSE NO.
HORSEPOWER _ D STRICTN G O READY FOR INSPECTION:
H.P1 OVER INC. `
yi&LESS •.25
— 2 so INSPECTION RECORD-
5 1.00.
so 2.50
r -
sa — 200 5:00 er)der.
MISC. 0 AVC=--`y}•�' ,
s
ITRANSI
• O. ,
SIGNSI N
NO.LAMPS -
SERVICE O-600V .1.0.0 -3
SERVICE OVER 600V $.00
WIRING PERMIT LOO. p
FIXTURE PERMIT 1.00 Q `
SUPPLEMENTARY PERMIT 5a
TOTAL FEEAPPROVALS
$ ze
I HEREBY ACKIVOVI►LEDGE THAT I HAVE READ Till ; DATE INSPECTOR'S SIGNATURE
S AP ICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH -ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL'WIRING. WIRING cl
I HEREBY CERTIFY THAT I AM PROPERLY_REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA ORTHAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE - UTILITY CO.NOTIFIED
OF PERMITTE _ FI.NAL
IOHN A:LAMBIE. VAIAIDA( ARTHUR C.VEIT.
rOUNTY ENGINEER SUPERVISING ELRCTRICAL ENGINEER
.CK No N: .
: lCo 4 7 7-5 DEC 3 2 7-2-0
OF