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'°ABBB.CEBDB 7_Bp APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION l ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERM PEES CROSS ST
1 T E M NUMBER EACH FEE OWNER
OUTLE $ 11 MAIL
LIGHTS • RECEPT SW. .1O ADDREBS
LIGHTING FIXTURES .10 CITY TEL. NO.
ELEC. RANGES CLO. DRYERS : ELECTRICIAN
FAR A
WATER H E AT E R S .BO ADDRESS
ELEC.SPACE.HTRS. DI§HWASHERS
/J CITY. EL. N
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA. COOKING UNITS .2S LICENSE NO.
MOTORS: OVER INC. H.P. 25 '+ DISTRICT NO. GROUP z0 E PROCESSED BY
0— I/2 ' /'
+ig- z 50 UgSPFJMON RECORD
2— 5 1.00
5— 1s 1.50
Is— 50 2.50
so—200 5.00
SIGNS: -NO. TRANS. '
NO. LAMPS
SERVICE'O.600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ TIM APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPbCATION DATE INSPECTOSYS SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGE S DOLINTY AN STATE OF FIXTURES
CALIFORNIA .OR THAT I AM THE LE L O ER F HE ABOVE
DESCRIBED RESIDENTIA ROP Y. POWER '
SIGNATURE UTILITY CO.NOTIFIED -2M.
OF PERMITTEE
FINAL b
LI ARTHUR C. YEIT,
C MoO CASH CAeH SUPERVISING ELECTRICAL ENGINEER ,
( 1 3 2 4.9 DEC 24 2 -A 9.5--o �