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9ASS8_CESG6_9_S, APPLICATION FOR ELECTRIC PERMIT 1'
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING. .rtt'G�jj Sultana
BUILDING AND SAFETY DIVISION ADDRESS 3a�F77L�//11GG
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY T.em le City
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PF"T FEES
ITEM NUM13FRI EACH. FEE OWNER W
inkenbaoh
MAIL
LI6H0. RECEPT. SW. 2 $ .10 .$ ADDRESS 5600 Sultana
LIGHTING FIXTURES .10 1 70 CITY Temple Cit3E TEL.NO.
ELEC.RANGES 'CLO.DRYERS ELECTRICAQ- CAL. LLLt,I' - ' ',-.4�°
WATER HEATERS .50 A Dib,
ELEC.SPACE HTRS. DISHWASHERS ADDRESS BfiWj-gWg&
GARBAGE DISPOSERS AUTO.- CITY TEL.NO.
WASHERS STA.COOKING UNITS .25 STATE p
LICENSE NO: O
MOTORS: OVER INC. H.P. -
O— I/z 2S DISTR NO. GROOU /V
UP Z��'pQPE READY POR INSPECTION
=3
I/2— 2 .50 +,G� .
INSPECTION RECORD
2.— 5 1.00
5'= is Lso
is — s0 2.50
SO— 200 5.00
SIGNS: NO.TRANS. -
NO.LAMPS
SERVICE 0-000V 1.00 10 00 /^'
SERVICE OVER OOOV 5.00 � Y+
MISC.-
WIRING
ISC.WIRING PERMIT 1.00y"'
FIXTURE PERMIT 1.00 e d2jv2_/,!!�-0A)D
SUPPLEMENTARY PERMIT .50'
TOTAL FEE g APPROV `
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP (CATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE. IS CORRECT AND AGREE TO COMPLY CONDUIT r /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _
ELECTRICAL WIRING. WIRING �.11LI�'P3 �- _ 1'
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES s Jif
LICENSED AS R);pUIRED BY S.ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I H OWN OF THE ABOVE POWER
DESCRIBED RESIDENTIAL P
SIGNATURE UTILITY CO.NOTIFIED
OF PERMI7TE o FINAL
VALIDATION ARTHUR C.VEIT.
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
o 4� r18 2 A 6.20