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105-SAII-09, ' APPLICATION KATION FOR ELECTRIC PERMIT
sA
DMSION OF B=DDiG AND SAFETY
DepCriment Of Catmty Engineer BUILDING �� O 1� 1 A
/ Catutty Of LOS Ang61e5 ADDRESS G 1 A b
JOHN A.LAMBIE.COUNTY ENGINEER.
CASSATT D.GRIFFIN.SUPT OF BUILDING_ LOCALITY L
' FOR APPLICANT
T10 FILL IN NEAREST
PERMIT nES CROSS ST. V 4
AMBER, OWNER A:K`�I A
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL. 0.
TOTAL OUTLETS ® 20 $ ELECTRICIAN
ELEC.RANGES 25
ADDRESS 0 VVrj
ELEC.HEATERS 25
KW EA CITY V d RI TEL.NO. D,
STATE14 o 6 1
'FIXTURES S LICENSE NO. V -
•.
MOTORS _ DISTR1CT NO. I GROUP I ZONE I READY FDR INSPECTIDN
NUMBER HORSEPOWER FEE ii�'J�s •�"y�/•'�
NEW MVD. HP OVER INC. EACH
14 r Lass s .2S INSPECTION RECORD
14 2 .SO
2 S 1.00
S I 1S 1.50
IS SO 2.50
80 200 5.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY .SO APPROVALS
TOTAL FEE' 8 ' 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 9
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING IBJ s/ r
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT 1.AM PROPERLY REGISTERED AND/OR ;; FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 30
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPE
SIGNATUREUTILITY CO.NOTIFIED Z`
OF P19RMITTEE—agA FINAL- •
OHN A.LAMBIE.COUNTY ENGINEER uA]','[ ATION ARTHUR C.VEIT.CHIEF ELECT.INBPE ITOR
1 6'.9 .9 ► OCT 2.5 2
C�j� �MO CASH
, � 4.05 a
D1313-BA
oes.s �. ,t .-APPLICATION FOR ELECTRIC PERMIT
1
A DIVMION OF BUILDING AUTO S=Y
Depmtzneat of County E41glneesBUIi:DING
Couatp of L08 Angeles ADDRESS
JOHN A.LAMBIE.COUNTY ENGINEER '
CASSATT D. GRIFFIN.SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEARS s. I d C'd —
PERIM FEES p /_
NUMBER, OWNER 0094 Il edVI&
LIGHT OUTLETS MAIL
r RECEPTACLES ADDRESS
syr WALL SWITCHES FEE CITY TEL.NO.
TOTAL OUTLETS G s¢ $ ELECTRICIAN ,�/'Piw7b J ela,. ,,ClG
ELEC.RANGES 25 ADDRESS,4/302 ,Cls
rNU..,R
ELEC.HEATERS25 /J �•7ECU/F-A CITY � l/ TEL.NOW-?JJ%STATE' pFIXTURES g ALE LICENSE NO. 1�d/D r
MOTORS DIST T NO. GROUP ZONE READY FOR INSPECTION
HORSEPOWER FEE .A-1VD. HP OVER INC. EACH
Y2LEBs $ 25 II�iSPECTION RECORD
Y2 2 .50.
2 S 1.00
do
5 18 1.50
18 50 2.50
SO 200 5.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY .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 WIRING
ELECTRICAL WIRING,
I HEREBY CERTIFY THAT I AM PROPERLY GISTERED AND/OR FIXTURES
LICENSED AS REQUI BY L ANGELES N AND STATE OF
CALIFORNIA OR T T M. LEGAL WNER OF THE ABOVE POWER
DESCRIBED RESIDE R TY.
SIGNATURE �� UTILITY CO.NOTIFIED
OF P€RM ITT FINALE
iOHN A. Bl COUNTY ENGINEERATJON ARTHUR C.VEIT.CHIEF ELEQT.INSPECTOR
CK 'NO CASH
16 acc24. 4.5.0