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,GABGe cEBDG_G_B� APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER, FARG �° .�J LL' N .
BUILDING AND SAFETY DIVISION sJOHN A.LAMBIE,COUNTY ENGINEER
CAssATTD.GRIFFIN,SUPT OF BUILDING TY L�FOR APPLICANT TO FILL IN T.•
PEBMT FEES OWNER 6 iy Al l
77
LIGHTS RECEPTACLES SWITCHES
NUMB _ ITEM EACH FEEMAIL
ADDRESS M E
TOTAL OUTLETS $ .10 $ O
C. RANGES, WATER HEATERS, CITY S'M ` TEL. O.
CLOTHES DRYERS .5 S
ELEC.SPACE HEATERS,STAT'Y. COOK- ELECTRICIAN ° e
1NG UNITS, GARBAGE D.ISPOSERS, A. n t
11 AUTO WASHERS, DISHWASHER .25' 5(/ ADDRESS .10
s a L
LIGHTING FIXTURES .10 2.6CITY TEL.NO,
® -
ATE
MOTORS LICENSE NO. D
HORSEPOWER
H.Pi OVER. INC. RI($ NO. I GR ZREADY FOR INSPECTION
8 LESS .25
v$ — 2 .so o!
s 1.00 4 _, ,JINS CTION RECO.� �1./J,�
z — .. _ / '
s 15 1.soa Ihi I.A fir./44'v"f ✓;/6,�'
is — so 2.50. s-�
50 — . 200 5.00
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MI.SC. .l /
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NO.TRANS -J_ay�_ ./t`J�'. Ytls.•.y�� bs'�eL�^'L_'_'/r '�`
SiGNs NO.LAMPS /� �q�.
SERVICE O_600V 1.00 . .�
SERVICE OVER 800V 6.00
WIRING PERMIT 1.00 ®®
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT 50 APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES �� ��r! (1 ]
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER /
DESCRIBED RESIDENTIAL.P OPER ,
SIGNATURE a UTILITY CO.NOTIFIED
OF PERMITTE FINAL
IOHN A.LAMBIE. MATION ARTHUR C.VEIT.'
:OUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
t
fal 65 100 AN 9 2 A .q L 0.8 0 I