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GA663-CE80610-62 APPLICATION OR ELECT CAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS E>iLW /P`
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY r
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. i-,o h d,.?"
REeEPT. 2
jr TOTAL NO. EACH FEE00
/
OUTLETS FIRST 20 )LO $.20 $ OWNER r
LIGHMAIL
SWITCH. ADD'L ADDRESS
OVER 20 Y .10 -
CITY TEL.NO.
LIGHTING TOTAL I-,
FIRST ZO d� .20
FIXTURES ADD'L OVER 20 10 ELECTRICIAN PL P tp P
�y /
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS M/ 7,2 A `O w Cir dJ
GARB.DISP. STA.COOK CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE �' D
SPACE HTRSjo STA.APP.(y=H.P.MAX. .50 LICENSE NO.
MOTORS] OVER NOT OVER H.P. DISTRICT O. GROUP ONE P ESSED BY
O 1 1.00
1 8 1.50 INSPECTION RECORD
s s 12.00 n
8 15 2.50
0:
15 50 8.00
50 100 5.00
d
SIGNSt NO.TRANS.
NO.LAMPS
SERVICE 0-600V-NOT OVER 200A 1.00
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS 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 1 AM PROPERLY REGISTERED AND/OR
LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ;oC. I? :J /+f.✓.sl+•A::.SI/i �
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER y�
SIGNATURE UTILITY CO.NOTIFIED .IG 777 7-3-11 >
OF PERMITTEE Fp
FINAL. VO •J(�f9</.
VALIDATION ARTHUR C. VEIT
C MO CASH SUPERVISING ELECTRICAL ENGINEER
.B643t2 AUG 8 2 0 14.60-
75A&63_CE8°& '_ . APPLICATION FOR ELECTRIC PERMIT L1
COUNTY OF LOS ANGELES
BUILDIN
'DEPARTMENT OF COUNTY ENGINEER X ADORES CJZ
BUILDING AND SAFETY DIVISION "7 4
2T / LOCALITY
NEAREST l
FOR APPLICANT TO FILL IN CROSS ST. OiL CI �✓
FRECEPT.
TS N0, EACH FEE
OWNER L�
MAIL �TO RST 20 5 ADDRESS / J i'/ A OVER 20 CITY � fJ ?"TEL. N0.
.f0 PLAN CHECK
LIGHTING FIRST 20 .25 APPLICANT
TOTAL
OVER 20ADDRESS
FIXTURES A__ .10
RESIDENTIAL APPLIANCES CITY TEL. N0.
PERMIT _
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS, .4,40-s-y n CJ
SPACE HTR. AIR COND. CITY` r C/ a TEL. N0. j
CLOTHES WASH. DISHWASH. LICENSE NO. �. jr-2 CLASS. J7
-
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE-THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 3.00 RESIDE IN, THE ABOVE DE RIBS RESIDENTI PROPERTY. V
SIGNATURE O
10 — 50 5.00 OF PERMITTEE
50 - 100 10.00 � bDISTRICT ASS ZONE CE W
100 - S00 15.00 e Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00
SERVICEOVER 600 VOLTS OR 200AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED '�3
PLAN CHECK FEE f{�
T/7 .
FINAL
PERMIT ISSUING FEE 3.00 eo40 //
5 1
TOTAL FEE
y
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
LJAIWo 1. .3 JUL 2 D 5.5 Q~
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE