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De:IIA 11 G! APPLICATION FOR ELECTRIC PERMIT 1
DIVISION OF BUWU;G AND SAFM
DqmrWwBW C= O I�i 9:M N ADDR INO /O
JOHN A LA BIE.CouNTNGINEeR
CASSATT D GRIFFIN.11ur'T or Su1LDINa LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PEBZM r= CROSS ST
NUMBER OWNER
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES F CITY EL NO
TOTAL OUTLETS a ELECTRICIAN S-49 el 'low
ELEC RANGES 215 ADDRESS
ELEC HEATERS 25
CITY T L NO
KW EA STATE
FIXTUpES S LICENSE NO
MOTORS DISTRICJyO I GROUP ONE I ■ueY ma mp=lam
NUMO
RR HORSEPOWER FEE
Iu MVD HP OVEN INC MACH y
M,2
t 2e INSP=ON RECORD
SO rm r L
Ioo1 Do
2SO
S o0
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING 11100
FIXTURES 4100
SUPPLEMENTARY SO APPROVALS
TOTAL FEE t DATE INSPECTOR 8 BIGNATURY
1 HEREBY ACKNOWLEDGE THAT 1 HAVE p8A0 THIS APPLICA ION
AND STATK THAT THE ABOVE 18 CORRECT AND AGREE TO COYPLT CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LASS REGULATING WIRING 1 S J
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT I All
P LY REGI AND/OR rU(NRES
LICENSED AB REQUIRED BY LOS CO A
CALIFORNIA OR THAT I Y TH GAL 0 8 Y POWER
DESCRIBED RESIDE ROP
SIGNATURE VTILITY CO NOTIFIED 1
OF PERM ITTH FINAL
JOHN A.LAMBIE.COUNTY ENG1HeaHR ATMAnON ARTHUR CL VEIT.CHIEF ELH6T. INGPECTOR
CR MO CAIIN
,M6645-� JUN 4 2 3.90 m