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APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER• BUILDING
BUILDING AND SAFETY DIVISION ADDRESS .�
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY
NEAREST y� r
FOR APPLICANT TO FILL IN
CROS
sT. ,r _
PERMIT FEES OWNER ey. •- J d
ITEM NUMBER SACH , FEE MAIL, .7 .,,7. 1 DDRESS 3 d C±=
OUTLET s $ $
LIGHTS ..WT. Sw. .10 d CITY TEL. NO.
LIGHTING FIXTURES .10 t
ELEC.RANGES CLO.DRYERS EQECTRICIAN J F"- !w Y
�� Al
le HEATERS .SO D ADDRESS �+ er /_
ELEC.SPACE HTRS. DISHWASHERS Jl
CITY' /_e&/-v d p_TEL NO.
GARBAGE DISPOSERS AUTO.- STATE /��
WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTTV N GROUP I Z'NE_ ESSED BY
0— 1/2 .25
2/2— z .50 INS ION RECORD
a
2. 5 1.00 O
5— 15 1.50 V
aC
1S— So 2.90 0
SO— 200 0.0.0
O.
SIGNS: NO TRANS. �N�r
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC. a
WIRING PERMIT 1.00 r'
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT t SO
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A ICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CO
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. I
WANG
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES—
CAL 11FORNIA
IXTURES.CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI L P OPERTY. t. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE FINAL
VALIDATIONARTHUR C.V
c MoOCASH SUPERVISING ELECTRICAL ENGINEER
7wae63 DBB 5A 11-e0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ���
COUNTY OF LOS ANGELES .r
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIANO
/ RECEIVED BY READY FOR DATE IMBUED
ADDRESS •I6/ �/`- .F� ''P t,-(' --FIRST INSPECTION
CITY eflri - TEL.NO. )'t7
COUNTY LICENSE NO. / EXPIRES TIJOJG /952- BUILDING
ADDRESS
PERMIT FEES } /�
NUMBER EACH FEE LOCALITY /'r�G��. �xq-/
LIGHT OUTLETS N NEARE
BT
CROSS 5T.
RECEPTACLES s
WALL SWITCHES 1 OWNER Al, .7" A1111-1, F'IL_..-
TOTAL OUTLETS 'Z,ko" 5O $ ��' MAIL
ELEC. RANGES 25
-'T ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES 5
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS '' .AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS . 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
FEE
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MvD. HP OVER IND. EACH ,OF THE RESIDENTIAL PROPERTY'DESCRIBED ABOVE.
.25 'SIGNATURE OF
%2 z .50 PERMITTEE_ � ;:,?�l.=f-Ij��l�s/Y.•sGlrL�' .r
r
z s 1.00 INSPECT ON-/RECORD
5 15 1.50
15 5D 2.50
50 200 5.00
200 500 70.00 d. enJ
- 500 1000 15.00 g
OVER 1131313 1 20.1311 AGL "' g- s®O 13
M.O. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA - -,( O
GENERATORS'- KW e_eAe lei �i D
TRANSFORMERS - KVA �•�+ �
TEMP. MOTORS (75% OF ORIG.) �- �y�y�9
MOVED MOTORS (75% OF DRIG.) _ •5 � meu. )r&'%fp%to
MISC.-
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.170 no CONDUIT a
d `7 `�7oY
FIXTURES $1.00 ®® WIRING_ L
SUPPLEMENTARY .5O FIXTURES
i
OWER f
TOTAL FEE $ ?t _tlTiiiTY Co.NOTIFIED
• FINAL