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SA663-CESOG 5-82 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER /-
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY �' G
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $�2O $ OWNER
LIGHT 2 eo MAIL
ADD'L 1O ADDRESS
SWITCH. OVER 20
TO AL CITY TEL.NO.
LIGHTING Flasr 20 . Z .20
FIXTURES 1�� ADD'L .1O ELECTRICIAN
OVFR 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRE918
GARB.DISP. STA.COOK CITY d— TEL.NO.
DISHWASH. AUTO.-WASH. STATE r�
SPACE HTRS._ STA.APP.(Ye H.P.MAX.)- .50 LICENSE NO. J
MOTORS: OVER NOT OVER H.P. DISTRICT NO. G OUP 1 AONE P CE D BY
O 1 1.00
I 3 1.50 _ INSPECTION RECORD
s a 2.00
8
is 2.50 d
IS so 3.00 UO
so 100 5.00
O
SIGNSI NO.TRANS. V
NO.LAMPS .s W
O.
N
SERVICE O.800V.NOT OVER 200A 1.00 6A a
SERVICE O.600V.OVER 200 A. 2.00
SERVICE OVER 800V 5.00
MISC.'
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $!`J
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING �� hl:" •`' •r' t
1 HEREBY CERTIFY THAT 1 AM PROPERLY .REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ��.''9,rr'..r+ �'1-. r.•.=J'
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROP Y. POWER JI
SIGNATURE UTILITY CO.NOTIFIED AMU U •r%i �`S�J/
OF PERMITTEE
FINAL
LIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
"VO0 3 AUL 4(j 2 D �. . 3 0, `.
5A663-CE606 5-62 APPLICATION, FOR- ELECTRICAL '14MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER `
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL 1N cROss sT.
RECEPT. TOTAL NO. I EACH I FEE
OUTLETS FIRST 20 S.20 S OWNER
LIGHT MAIL
ADDTL ADDRESS
SWITCH. OVER 20. .10
LIGHTING
TOTAL CITY TEL—NO.
l F�R5T2O .20 "
FIXTURES 1 ADD'L 10 ELECTRICIA
ov R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRES
GARB.DISP. STA.COOK r
CITY EL
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(Vz H.P.MAX.) .50 LICENSE NO. v�
MOTORS, OVER NOT OVER H.P. DISTRICT NO. G�.OUP I ZONE I PR D BY
O 1 1.00
1 3 1.50 INSPECTION RECORD
3 8 2.00
8 is 2.80 a
O
Is 50 3.00 V
s0 100 5.00
O'
NO.TRANS. ~
SIGNS: NO.LAMPS W
n.
N
SERVICE 0-800V=NOT OVER 200A 1.00 Z
SERVICE 0.800V-OVER 200 A. 2.00
SERVICE OVER GOOV 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICAT N APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE To COMPLY CONDUIT
WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING - gg
ELECTRICAL WIRING. WIRING I S
1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROP Y. POWER
SIGNATURE UTILITY CO.NOTIFIED 7 ¢ �
OF PERMITTEE
FINAL
�LIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
u` ,� 7 4 1 9 4G JUL 12 2 D 3.4 0