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7eAG[e-G[BQG_11S7APPLICATION FOR ELECTRIC PERMIT Z'
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WIRINGPERMIT 100 QD
FIXTURE PERMIT 100 OQ
SUPPLEMENTARY PERMIT GO
TOTAL FEE f Q APPROVALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COYPU CONDUIT i
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDER PROPERTY
SIGNATURE UTILITY CO NOTIFIED B
OF PERMITTE
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7�3C 11-11[41ZAPPLICATION FORJELECTRIC PERMIT 1
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5 — 15 150
15 — 50 250
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SIGNS NO TIUNS
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SERVICE OVER 500V 500
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WIRING PERMIT 1 00
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTALFEE f C7 APPROVALS
I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION DATE INSPECTOR 3SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AY THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDE PROPERTY
SIGNATURE UTILITY CO NOTIFIED–
OF
OTIFIED
OF PERMITT i F A ID
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