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"663.C880B4.60 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES ^
DEPARTMENT OF COUNTY ENGINEER BUILDING 1
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE,COUNTY ENGINEER 1
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS STfd
PERMIT FEES OWNER �f
ITEM NUMBER EACH FEE MAIL ``
OUTLE S. $ ADDRESS V
LIGH CEPT SW. .10 '
CITY TEL NO F
LIGHTING FIXTURES .10
ELEC.RANGES CLO.DRYERS ELECTRI IAN VAI p
WATER HEATERS .50 ADDRES
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL.NO.
GARBAGE DISPOSERS AUTO.- STAT
WASHERS STA.COOKING UNITS 689 LICENSE Ni
MOTORS: OVER INC. H.P. DIS R!CrNO. OUP E P . ESSED BY
0 — 1/2 .25 �jj
v: — .90 J INSPECTION RECORD
2 — s 1.00
Y' d� U
15 — 50 2.80 ►�:.c�'✓sr� .�?'v1 ����.t✓tCii /L �'2/ J'�� �.o
SO — 200 5.00 //,� ~
SIGNS: NO TRANS. r.I� �1. `,/�• O.
_ NO.LAMPS .O.�.N o ./J i/ 1r Z
SERVICE O.SOOV 1..00 e
SERVICE OVER 800V 5.00
MISC.
i
WIRING PERMIT 1.00 I
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .90.
TOTAL FEE B
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 ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT L PROPERTY. POWER �/
SIGNATURE UTILITY CO.NOTIFIED / 6/
OF PERMIT FINA �CG�P 1+IJ(I Aare_�,
VALIDATI0N1 AR HUR C.VEIT.,
CK MO Cps SUPERVISING ELECTRICAL ENGINEER
U, 4..7 4 'L :18 AR 3 2 D 5.00 `�