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76AGG&CESOB 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �.
BUILDING AND SAFETY DIVISION ADDRESM
JOHN A LAMBIE, COUNTY ENGINEER y-�n
WILLIAM A JENSEN, SGP 1 of SUI [No LOCALITY
NNOMMM" NEAREST
F O I CROSS ST
REC-T TOTAL 1200
�[[
LISxr OUTLETS FIRST 20 $ 0 �Q OWNER
�S MAIL
ADDSWITCH �7 �� OVER 20
ADDRESS
I DASD-L p
TOTAL O CITY T2L NO
LIGHTING ,t P1Rar 20
FIXTURES AGD'L ELECTRIC,
OVER 20
RANGES CLO DRYER[ will HTR[ too ADDRESS
GASGI DIP STA COOK-
CITY TEL NO
DISHWAYI A AUTO WASH �J, ATSPACE HTN32' STA ME (W H P rwlLICENSE NO
MOTORS ovaK NOT Ovid HP DISTRICT NO U ZON ESSEDOf — a INSPECTION RECORD
a B 21
a — to 250
rVCw
to 50 Soo d
no too Soo Ov
SIGNS, NO TRANS fi
NO, LAMPS O
SERVICE D 000V NOT Ovate 200A too,,
SERVICED aooV OVER 200A 2AQ�
0 ' Z
SERVICE OVER a00V o —
0
MISC
PERMIT ISSUING FEE 0 0
SUPPLEMENTARY PERMIT ISSUING FRo
TOTAL FEE61 HERESY ACKNOWLEDGE THAT I HAY[ APPLKJIT N DAT[ IMO[AND STAT[ THAT THE ASOY[ IS CORRLRTo COMPLY CONDUITwlrHALL COUNTY oROINANc" AND SMOULATINGWIRING WIRINGI HERYY CERTIFY THAT I wM PROPER [A[G AND/ORLICENSESAS R[GUIKED BY LOS ANG[LuAND STwra oP PDITUR¢8uLIPOKNIw ON THAT 1 AM TME LEGALF THE A W0 R[SIO[Nr PRMaRTY POWERSIGNATURE nUTILITY CO OTIFIQD
OF PERMITTE v
FINAL
DATION A R C VETT
CR O CASH SUPERVISING ELECTRICAL ENGINQ2R V
L,'IL� 7 7 3 3 JUL 19 2 A 1 7.0-
�0"