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A5e3.Cee0e4.60 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, SUP'TOF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
PERMIT FEES OWNER A YZ D
EF E-
I TEM NUMBERI EACH FEE MAIL
$
OUTLETS �
LIGHTS RECEPi. 8W. .10 ADDRESS
LIGHTING FIXTURES �' .10 J--o CITY TE61 NO
SLEC.RANGES CLo� ELECTRICIAN
WATER HEATERS .50 ✓ ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO.
GARBAGE DISPOSERS AUTO.- STAT ,
WASHERS STA.COOKING UNITS 3 .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTII ICTg. GROUP Z E P SED BY
0 — %a T .2S ' !S i
I/a — 2 ,50. INSPECTION RECORD
2 — S 1.00
n.
5 — 1s2.50 O
U
1s — BO 2.SO
SO— 200 5.00 U
W
SIGNS: No TRANS. 06
N
NO.LAMPS
z
SERVICE 0-600V 1.00
SERVICE OVER GOOV 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT f.00
SUPPLEMENTARY PERMIT ,SO
TOTAL FEE 8 or
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY .CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING C -/
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED:AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES i
: CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBEDRESIDENT L PERTY. POWER-
SIrddf
GNATURE UTILITY CO.NOTIFIED
OF PERMITTE
FINA
LIDATION ARTHUR C.VEIT.
MO CASH SUPERVISING ELECTRICAL ENGINEER
(�'V�00 7 5 5 "0 JAS! 6 2 D 12.05 p.