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084-00 APPLICATION FOR ELECTRICAL .PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREIV
DING
BUILDING AND SAFETY DIVISION RESS 1 &
JOHN A.LAMBIE,COUNTY ENGINEER
WILLIAM A.JENSEN.SUP-TOF BUILDING ALITY G�
FOR APPLICANT TO FILL IN r
PERMIT FEES OWNER
ITEM NUMBER EACH FEE MAIL
OUTLE : 1 $ $ ADDRESS
LIGHT RECEPT.Z SW. •10
LIGHTING FIXTURES. .10 CITY Eos EL.NO — s
ELEC.RANGES CLO.DRYERS .ELECTRICIA
WATER HEATERS .50 ADDRESS -
ELEC.SPACETRS. DISHWASHERS CITY TEL.NO.
.H
GARBAGE DISPOSERS AUTO.- STATE
LICENSENO.
WASHERS STA.COOKING UNITS .25
MOTORS: OVER INC. H.P. DIS, �jNO. GR�1JP ff P CESSED BY
O — 1/2 .25 jj
V2 — 2so INSPECTION RECORD
2 — 5 1.00 O
5 — 15 1.50 U
1s — sDCo a.so O
so — 200 5.00 13
SIGNS: NO TRANS. D.
NO.LAMPS Z
SERVICE 0.600V 1.00
SERVICE OVER 600V 5.00
MISC.
e-
WIRING PERMIT 1.00
c FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR-8 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING 9 I
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR v 1"01 VN irvvwvm
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIA_4rPROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED.
OF PERMITT FINA ! Y:
LIDATION ARTHUR C.VEIT.
dK MO CASH SUPERVISING ELECTRICAL ENGIN68R
J ACC 3 4 3 8 Gl KAR 6 2 D 2.7 0Vl