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0115-11A I I.>i9 APPLICATION FOR ELECTRIC PERMIT 1
DIVISION OF BUnDMG AND SAFETY
DepOslment of County Englnee! BUILDING
County of Los Angeles ADDRESS
JOHN A.LAMBIE.COUNTY ENGINEER ,n
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY
FPOR APr LIFE T TO FILL IN NEARES' / '
CROSS ST.d_!?-rte,-(+.`i,__
NUMBER
'OWNER
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FES00, CITY +�' TEL.NO.
TOTAL OUTLETS @ so $ Q ELECTRICIAN .� f? l ..4'f?!G
ELEC.RANGES 28 ADDRESS /I��Jl+f�'rt.'i-it:
ELEC.HEATERS 25 ��Y✓ /p
CITY4S, U;�" tXGL •-tc.r TEL.N0:477Y32
KW EA STATE
•-
FIXTURES LICENSE NO./ 57 333
MOTORS FEE DISTFi,�C,T NO. IGROUPI ZZO� I READY FOR INSPECTION ,
NUMBER HORSEPOWER
NEW MVD. HP OVER INC. EACH
vz a LESS $ .25 INSPECTION RECORD
lb 2 .50
2 5 1.00
5 111 1.50
18 S12.90
So 200 5.00
MISC.
A
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY •B0 APPROVALS
TOTAL FEE To 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 REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AN THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED �G
SIGNATURE �� c�' �` n_
OF PERMITTEE '- ���' �'' FINAL
JOHN A.LAMBIE:COI¢NTY ENGINEER VALIDM,'o
ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR
CK MO5My. 7 2 1.10
S
OBS-9A ,I. 99 APPLICATION FOR ELECTRIC PERMIT
BS.
DrMION OF BUU.DniG AND SAFETY
DepmmILDING
County of Los Angeles ADDRESS
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN 4 NEAREST rn
5 PERM FEES CROSS ST. :; f1�&A.0& Qrl.I./J xt
NUMBER OWNER IV4CLJZ72
c: LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL.NO.
TOTAL OUTLETS @ 8!< $ .. ELECTRICIAN J ()/L"t.r�r
ELEC.RANGES 28 ADDR,�EyySSJ'�S('J�v !i 1 !'@
ELEC.HEATERS 28 r CITY.tl;, TEL.NO.
KW EA STATE
FIXTURES 8 1 LICENSE NO. /9333
MOTORS DISTRICT NO. GROUP ZOr4E� READY FOR INSPECHOR
NUMBER HORSEPOWER FEE I
NEW MVD. HP OVER INC. EACH
' Yz a LESS $ .25 INSPECTION RECORD
Yz 2 .s0
2 8 1.00
B 1 1B I.BO
IS 80 2.80
So 200 5.00
M ISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY O .SO pS'� APROyALS
.TOTAL FEE E Ja ' $ EDATE INSPECTOR'S SIGNATURE y
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMCONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING] WIRING
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDFIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABPOWER
DESCRIBED RESIDENTIAL PROPERTY.
$l UTILITY CO.NOTIFIED
OPF PARME
$RMITTEE bm FINAL
iOHN A.LAMBYIE.COUNTY ENGINEER VALIDATIO ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR
CK MO CASH
TO 6 2 JUN 4 2 ,g Q 'n -
o ��
9
`
DDS-SAf�.SE APPLICATION FOR ELECTRIC PERMIT
1
DDS-SA'
DIVISION OF B=ING AND SAFETY
Deportment of County Engineer BUILDING
County of Los Angeles ADDRESS' �� J),7
JOHN A.LAMBIE,COUNTY,ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
sa sTia—tt.e.�/1 . �
PERM FOS. .
NUMBER OWNER er
LIGHT OUTLETS MAIL
1
RECEPTACLES ADDRESS
WALL SWITCHES FES. CITY TEL.NO.
TOTAL OUTLETS 5¢ 8 Z LAO
_ ELECTRICIAN
ELEC.RANGES 25 � ��
ELEC.HEATERS 25 ADDRESS-CITYAA ���� TEL.N
04
/ KW EA STATE
14 FIXTURES 5 LICENSE NO.
MOTORS DISTRICT NO. GROUP ZONE READY FOR INSPECTION
NUMBER HORSEPOWER FEE
NEW MVD:'; HP OVER I INC. EACH
I %&LESS $ .215 INSPECTION RECORD
t 2 .50 (o 1�C'.�A r+� J wI,A ,
2 5 1.00
S 18 1.50 V � �^
15 50 ' 2.50 i
. 00 200 5.00 `il ) t L3A����"i"'� DLA��C•�. 6.11 � C 1..��1J�
�'C`s�. /�\.�� �•�u�, �`���e a►�c� ��t�A� -
MISC. /� U
cu
' NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS ,�
FOR EACH PERMIT: L L r, 4% A
WIRING $1.00 r �u 42L
FIXTURES $1.00 "�
SUPPLEMENTARY .50
v.-.-A L RO YAiu7 J d •' C A
TOTAL FEE 8 D ' DATE INSPECT 'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING W1R1N6
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT 'I AM PROPERLY REGISTERED AND/OR FIXTURES I
LICENSED AS REQUIRED.BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE p UTILITY CO.NOTIFIED
OF PERMITTEE 1A --40—p-q-
FINAL
IOHN A.LAMB .COUNTY ENGINEER VALIDA ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR
EL MAY 2 9 2
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