HomeMy Public PortalAbout4303TEMPLE CITY BLVD_Electrical (2) 76A683-CEeoe 10/n APPLICATION 00R 'ELECT R CAL PERMIT CO
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER �OB
BUILDING AND SAFETY DIVISION OGRESS d Y
LOCALITY
FOR APPLICANT TO FILL IN NEARESTCROSS ST
OUTLETS NO E-ni OWNER OR
S S FIRM NAMEIL= .G
RECEPT_ MAIL
LIGHT_ TOTAL
FIRST 20 23 ADDRESS
CITY TEL NO
SWITCH_ OVER 20 10 PLAN CHECK
LIGHTING FIRST 20 25 APPLICANT
TOTAL
OVER 20 ADDRESS
FI%TURES 10
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE_DRYER_WTR HTR_ APPLICANT
STA COOK_DISP_F A U _ ADDRESS 13re. / (�L
SPACE HTR AIR GOND CITY �� TEL NO
CLOTHES WASH DISHWASH_ REGI M9ER CLASS L*ld
FAN_OTHE 100 I ✓V I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMER RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS LTC HP KW RVA ELECTRICAL WIRING
SIZE & TTP[ OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
0 - 1 100 LICENSED AS RETHAI I BY LOS AN GGAl- COUNTY ANO STATE OF
CALIFORNIA OR THAI I AM THC LEO AL OWNER OI THE ABOVE 1
,e - 10 900 CC)
RESIDEN PROPERTY
O
/r i
PERMITEE
10 - 60 S00 SIGNATURE p
F
50 - 100 IOAO c�
DISTRICT NO PROCESSED BY W
LL
DD _ 600 1500 5 0 J, CtA/—OL� z
SIGN GAS SIGN AND ONE CIRCUIT SOO APPROVALS DATE GmPECToR,3 SIGNATURE:
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT
TEMP SERVICE POLE. &APPURTENANCES SOO WIRING
TEMP LIGHT OR RECEPT SYSTEM 3D FIXTURES
dNOTTES
/
PERMIT FEE (SUB TOTAL)PLAN CHECK FEEPERMIT ISSUING FEE 300TOTAL FEEJEEC -g d
PLAN CHECK VALIDATION CK M 0 CASH / RMIT VALIDATION cX M 0 CASH
SEE SACK OF APPLICATION FOR COMPLETE SCHEDULE F
�( 3 9 3 973 DEC 3 2 C 8.00s