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CO-" APY OFPLICATION FOR ELECTRICALPE MIT LLLIII
S ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINClR
67 COLEMAN W JENKINS, SUP�RINT<NOINT C,.BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAq EST
CRO55 $T
NO EAC
RECEPT _ S OWNER LU
MAIL
LIGHT_L
L FIRST 20 20 ADDRESS
SWITCH_ OVER 20 10 CITY TEL NO
PLAN CHECK
LIGHTING L FIRST 20 20 APPLICANT
FIXTURES OVER 20 10 ADDRESS
RANGE_DRYER_WTR HTR — CITY TEL NO
STA COOK_DISP _F A U CONTRAC rOR CG
SPACE HTR _AIR COND ADDRESS
CLOTHES WASH —DISHWASH _ CIT TEL N �OdZ2
FAN—OTHER 1 00 LICENSE NO O 3 C CLASS C.,—CO
MOTORSTRANSFORMERS RATING
IND HEATERS ETC HP KW KVA IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE 6 TYPE OVER TO ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGU"TING
ELECTRICAL WIRING
0 - 1 1 00
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AMD/OR
I 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO a
10 60 6 00 RESIDE IM ABOVE DESCPIEED RESIDE I L PROPERTY CD
U
SIGNATURE
60 - 100 10 00 OF PERMI EE C
100 - 600 15 00 ~
DIS RI 'RgUP Pf PR E BY w
SIGN GAS TUBE OR SIGN AND ONE CIRCUIT 3 00 t /� ` c-� y_
MA ROU EC ADDITIONAL CIRCUITS 1 00 NOTES
SERVICE NOT OVER BOD VOLTS OR 200 ANP 2 0 t'ro
SERVICE OVER 600 VOLTS OR 200 AMP 6 00
TEMP SERVICE POLE h APPURTENANCES 3 00 APPROVALS DATE INSPECTOR S SIGNATUIE
TEMP POWER POLE
UNDERSLAS WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
LLL_CK FEE (SO% IT FEE)
POWER AUTHORIZED
200 1� UTILITYCO NOTIFIED SUING FEE1OO FINAL NQ O JOSEPH C ROOHAN
SUPERVISING ELE ICAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION C M O CASH
IG''_ oS76:a J& 9 2 D 4.00~ v
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE '&�
f
7"A DBE"A 7-51 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ��������
�
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZONE PERMIT NO.
ELECTRICIAN
��11 pp RECEIVED BY READY FOR OAT[ I•BUED
ADDR[® l �O�/� /( ACK �.L� ,Q(Js FIRST INBPr OTION A` /�
CITY TEL NODo Z.
COUNTY 110CNS[ NO E%PI RfS Bu
ADDREBNG
B
PERMIT FEES L
NUMBER EACH RE LOCALITY /_
I LIGHT OUTLETS Z CROSS er
RECEPTACLES /
WALL SWITCHES I OWNER � 14 Elf— &e—'e5 Ong,
TOTAL OUTLETS 014 Sc MAIL
ELEC "NOES 96 ADDRESS
ELEC HEATERS BS CITY TEL NO
FIXTURES " 1 HEREBY ACKNOWLEDGE THAT I HAVF READ THIS
M10C n� APPLICATION AND STATE THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS A� /r) AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS h P� AND STAT[ LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
NUH"ea HORSEPOWERr[E ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
NEW M. HP OVER IHC EACH DF THE RESIDENTIAL PRO171,137%y DESCRIBED ABOVE
ya " L["" S BS SIGNATURE OF D
I/ 1 SO PLRMITT[
s S 1 DD INSPE ION ACORD
_ e is 1 Bo
1• SO 250
so 200 5130 <
200 Sao 1000 j
Soo 1000 1500 Q
Z
OVER IOOO 90 00 �
M B BET/FRED CHANGER-HP OR F H 7-,P, �
WELDERS AC-KVA C
GENERATORS - KW I� T/ IN/c'.GG
TRANSFORMERS - KVA — J /JD f9 UC
TEMP MOTORS (76 of RRIR) C� L1(
MOVED MOTORS (75y. of onto)
mine
SIGNS
NO NO TRANS. APPROVALS
No NO LAMPS
FOR EACH PERMIT. DATE INSPECTOR'S NAM[
WIRING $100 QO CONDUIT 7
FIXTUREB Bloc 0 WIRING SUPPLEMENTARY D FIXTURES
POWER
TOTAL FEE - • �D UTILITY CO NOTIFIED ^/
FINAL