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76AG63-CE806 9-64 APPLICATION FOR LECTRICis PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING:
BUILDING AND SAFETY DIVISION ADDRESS goo? A -7,6e/7,a/_& eiz- �,4��.
JOHN A. LAMBIE. COUNTY ENGINEER y��, ` �i
COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY r� L h`'
NEAREST !.�y p^ � Fr
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE ^r—
LIGHT'
OUTLETS t FIRST 20 $20 $ OWNER /'%%�, • �E�Cy�E%l I t�
ADD'L MAIL
ADDRESS
SWITCH. OVER 20 .10
LIGHTING 1t TOTAL f FIRST 20 .20 CITY `E TEL.NO.
FIXTURES 1 ADD'L .10 ELECTRICIAN /�/ LSC
OV9R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 1 1 ADonEss Sk G 040"A A 52—
CARD.ASH. STA.COOK CITY ` P� c/✓ TEL.NO.
DISHWASH. AUTO.-WASH. STATE •�
SPACE HTRS. STA.APP.(Va H.P.MAX.) .50 LICENSE NO. /7/ 2.-72—
MOTORS:
23 2—
MOTORS: OVER NOT OVER H.P. DIST T GR UP NE P ESSED B
0 1 1.00
1 3 i.so INSPECTION REC RD
3 8 2.00 � S Is4'r"1f�'� 40
8 15 2.50
15 5o 3.00
50 too 5.00 c `r' ='r G
SIGNSI NO.TRANS.
NO.LAMPS
y
Z
SERVICE 0.600V-NOT OVER 200A 1.00O
SERVICE 0-SOOV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 O
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 110
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S BIGNA
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
'ELECTRICAL WIRING. WIRING ('
P4 Ir W
1 HEREBY.CERTIFY THAT 1 S PROPERLY REGISTERED AND/OR FIXTURES
LICENSED A9 REQUIRED I BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM E LEGAL OWNER OF, AND INT D TO AA
RESIDE IN.THE ABOVE DES IS RESIDENTIAL PROPERTY. POWER _WMA
y
SIGNATURE / TILITY CO.NOTIFIED /I A ✓��
OF PERMITTEE FINAL Gee
IDATION JOSIPH C. ROOHAN v �'
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L iii 2 9 3 2 JUN 2 2 2 D 4.6 O N