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p"GSS�E60S-e-5, APPLICATION FOR ELECTRIC P.ERM.IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE,.COUNTY ENGINEER c
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY N. /
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES OWNER
LIGHTS % RECEPTACLES SWITCHES YS
NUMBER ITEM EACH FEE MAIL
ADDRESS
' TOTAL OUTLETS $ .10 $
ELEC. RANGES, WATER REATERS, CITY TEL.NO.
CLOTHES DRYERS .50
ELEC.SPACE HEATERS,STAT'Y. COOK- ELECTRICIAN
ING UNITS, GARBAGE DISPOSERS,
AUTO WASHERS, DISHWASHER .2& od ADDRESS
• LIGHTING FIXTURES .10 CITY TEL.NO.
* MOTORS STATE
LICENSE NO.
HORSEPOWER
H.P: OVER INC. D STRICT NO. GROUP ZONE. READY FOR INSPECTION
%&LESS .25 �7 � 1 ,4-1.1
v: — 2 .50 INSPECTION RECORD
2 s 1.00
S Is 1.80
is SO 2.80
SO 200 5.00
MISC.
SIGNSI NO.TRANS
NO.LAMPS
SERVICE O-800V 1.00
SERVICE OVER 800V 5.00
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 .
SUPPLEMENTARY PERMIT .80 APPROVALS
TOTAL FEE $ ` EONDATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP !CATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ��7
ELECTRICAL WIRING. WIRING 0
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE c� e UTILITY CO.NOTIFIED
OF PERMITTEE CXJ M.F.INAL
IOHN A.LAMBIE, VALMA ARTHUR C.VEIT.
:OUNTY ENGINEER
CK MO SUPERVISING ELECTRICAL ENGINEER
CASH
2 7 2 21 SE'26 2 7.20
®P
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7BA889_E808_8-87 APPLICATION FOR ELECTRIC .PERMIT, l:
COUNTY OF LOS ANGELES RNM
DEPARTMENT OF COUNTY ENGINEER BUILDING /�
BUILDING AND SAFETY DIVISION ADDRESS !bA K B Y
JOHN A.LAMBIE.COUNTY ENGINEER �/� i
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY 0'Y)7 LOCl /
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. e
PEMMT FEES C
s LIGHTS RECEPTACLES SWITCHES OWNER /k S
HUMBERI ITEM EACH FEE MAIL
TOTAL OUTLETS $ .10 S ADDRESS
tiY1 E'J
ELEC. RANGES, WATER HEATERS, CITY TEL.NO. Miff-711-0
CLOTHES DRYERS .SO
ELEC.SPACE HEATERS, STAT-Y. COOK- ELECTRICIAN
ING UNITS, GARBAGE DISPOSERS. ADDRESS
AUTO WASHERS, DISHWASHER .25'
. LIGHTING FIXTURES .10
CITY TEL.NO.
MOTORS STATE
LICENSE NO.
HORSEPOWER
H.P: OVER INC. DISTRICT O. G ONE READY FOR INSPECTION
�^
V,a LESS .25
1/2 — 2 5o INSPECTION RECORD
2 — 5 1.00 ,d
s — 1s 1.50f 6�
IB — so 2.50le
- c� L/�
50 — 200 5.00
misc.
SIGNS I NO.TRANS
NO.LAMPS
SERVICE O-600V 1.00 1�
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50 APPROVALS
TOTAL FEE g
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION - 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY. RR /�
SIGNATURE t UTILITY CO.NOTIFIED �/�� -�� (/tipl�j(. t "y
OF PERMITTE
FINAL
IOHN A.LAMBIE. VMMAyQN)_.) ARTHUR C.VEIT,
:OUNTY ENGINEER CK MO .SUF+ERYISiNG ELECTRICAL ENGINEER
,Auro 3 3 .1 1 V; OCT 14 2 -2.00 -9
' ®F
76AGS3,,.B9�� NPPLICATION FOR ELECTRIC.PERMIT 1
;4 DIVISION OF BUILDngG AND SAFETY
i DepDslmenl of County Engineer 4 BUILDING �r� f1, /J/) /),
COIIL{{pp of LOS Angeles ADDRESS N ( O'SGd�[, dD(itJ
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN,SUP-T OF BUILDING LOCALITY! A- y.- C(
FOR AA T LIICASNT TO FILL IN NEAREST
CROSS ST.CC��,,,s AIO,L,�
NUMBER OWNER 52f.17 COOK ,
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE %41 71eO
CI TEL.NO.
TOTAL OUTLETS @ Be $ ELECTRI IAN
ELEC.RANGES 29
ADDRESS
ELEC.HEATERS 2s y
KW. CITY TEL.NO.
EA STATE
FIXTURES s LICENSE NO.
MOTORS DISTRIG NO. GROUP ZONE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE
NEW MVD. HP OVER INC. EACH
36$LESS $ 2s INSPECTION RECORD
�2 2 .50
2 s '1.00 p
s is i.SO
1s so 2.50
so 1 200 1 5.00
M ISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00 `
SUPPLEMENTARY .50APPyBOVAI+S
TOTAL FEE 8 J I DATE. INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT / b -4�14• %WITH ALL COUNTY
ELECTRICAL WIRING.ORDINANCES AND STATE LAWS REGULATING WIRING
I HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AMD/OR FIXTURES ice,a
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATUREUTILITY CO.NOTIFIED
OF PERMITTEE/� FINAL y
OHN A.LAMBIE.COUNTY ENGINEER VAI.IDA� ARTHUR C.VEIT.CHIEFELWT.INSPECTOR `
CK No H
lU3 8 6 7 9 JUL 3 0 2 3.4 Q
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