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SA668-CES06-9-57 APPLICATION F®R ELECTRIC PERISIIT 1.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS .t�
JOHN A.LAMBIE.COUNTY ENGINEER I
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY (�v
FOR APPLICANT TO FILL IN CROSS s 47-
PERMIT FEES
ITEM NUMBER EACH FEE OWNER
OUTLETS: $ $ MAIL
LIGHTS RECEPT. SW. .10 O ADDRESS
LIGHTING FIXTURES .10 CITYrO S A/
ELEC.RANGES CLO.DRYERS
ELECTRICIAN _
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS r
GARBAGE DISPOSERS AUTO.- CITY TEL.NO.
WASHERS STA.COOKING UNITS ,25 STATE G! ? - 7
Li ENSE NO.
MOTORS: OVER INC. H.P.
0— 1/2 .25 DISMO. GROUP ZONE I READY FOR INSPECTION
Va— 2 .50 iz /
INSPECTION RECORD
2 — 5 1.00 ~ :�
s — t5 1.50
15 — 50 2.50 /
SO— 200 5.00 r• '� ar
SIGNS:
NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00 Q
SERVICE OVER 600V 5.00
MISC. / �0
/illir f�/r
0
WIRING PERMIT 1.00 1
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ D APPROVAIS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSEEGT-0 SSIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND,AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGy"
ELECTRICAL WIRING. WIRING `�✓ 7 //44"EA-,a-e-
I HEREBY CERTIFY THAT I AM PROPERLY. REGISTERED AND/OR
*/-` _fid. .,
pip �✓j �/
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND 'STATE OF FIXTURES i ✓ 5, I. �d l -:�
CALIFORNIA OR THAT I A THE LEGAL OW OF THE ABOVE
DESCRIBED RESIDENTIAL I' POWER ERTY. y q y
SIGNATURE. UTILITY CO.NOTIFIED ` C/.� ,Y d"
OF PERMITTE D ' /�
FINAL -;kp
VMPATION ARTHUR C.VEIT.
CK MO CASH SUPERVISING LECTRICAL ENGINEER
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BA888 CEB08.10.88 APPLICATION FOR ELECTRIC PERMIT 1
BUILDMG AND SAFETY DIVISION
Department of County Engineer BUILDING
County of 1.08 Angeles ADDRESS
JOHN A.LAMBIE.COUNTY ENGINEER P �j
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERBUT FEES
LIGHTS RECEPTACLES JLSWITCHES / 7 OWNER
NUMBERI 1 T E M EACH FEE MAIL
TOTAL OUTLETS $ ,10 $ JO ADDRESS
ELEC. RANGES, WATER HEATERS, CITY ' TEL.NO
CLOT ES DRYERS .50 '
. SPAC6 HEATERS, STAT-Y. COOK. ELECTRICIA J
41110NITS, GARBAGE DISPOSERS, ll�• ADDRESS / C
16u.ASHERS- DISHWASHER .25
LIGHTING FIXTURES ,10 70 CITY TEL..NO.
MOTORS STATE d
LICENSE NO.
HORSEPOWER
H0. VER 'INC: DISTRICT NO. GROUP yZ�yyONE1 READY FOR INSPECTION
Va&LESS .25 d 1 .7-
1h
- 2 .50 INSPECTION RECORD
2 — 5 1.0.0
S 15 1.00
15 50 2.50
50 200 5.00
MISC.
SIGNS I NO.TRANS
NO.LAMPS
SERVICE O-800V 1.00 dr
SERVICE OVER SOOV 5.00
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT 50
APPROVALS
TOTAL FEE $ U DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS. APPLICATION
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING ,f+/
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA 'OR THAT THE LEGAL OWNED OF' THE ABOVE POWER `
DESCRIBED RESIDEN OPER
SIGNATURE -UTILITY CO.NOTIFIED
OF PERMITTEEeel
Ia /
FINAL
OHN.A. LAMBIE. WMATION ARTHUR C.VEIT.
:OUNTY ENGINEER MO CASH SUPERVISING ELECTRICAL ENGINEER
CK
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