HomeMy Public PortalAbout4311TEMPLE CITY BLVD_Electrical D"BA it as APPLICATION FOR ELECTRIC PERMIT
DIVISION OF BIIII.DING AND SAFETY
Dopartmeni of County Enstnw BUILDING
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Las Angela ADDRESS
JOHN A LA SIE. COUNTY ENGIN�L Ell
CAGGATT D GRIFFIN BUF T OF BUILDING LOCALITY _
rR
R APPLICANT TO FILL IN NOR
PERMIT FEES
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OWNER
OUTLETS MAIL
TACLES ADDRESS
WITCHES FEE CITY TEL NO
AL OUTLETS E ELECTRICIAN
RANGES pE ADDRESS
HEATERS pE
CITY TEL NO
STATE Q
ES E LICENSE NO
MOTORS DISTRICT NO }���/pp�++�p��OUP ZONE naADT FDa laaraaTloe
HORSEPOWER PEE1�`�{ Iova INE GCM ff� E I
a..•a r 215 �� ON LtECOBD
s SO
s e 100
E 1E 1 BO
1E EO 250
EO 200 500
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING of 00 Vo
FIXTURES $f 00
SUPPLEMENTARY SO 1 1 APPROVALS
TOTAL FEE I DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP ICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGazz
ELECTRICAL WIRING WIRING O Z
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWN OF THE ABOVE POWER
DESCRIBED RESIDENTIA P PERTY
UTILITY CO NOTIFIED
SIGNATURE
OF PIIRM ITTEE FINAL
JOHN A LAMBIE.COUNn GINBIU2ATION ARTHUR C.VEIT.CHIRP ELECT. INSPECTOR
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1 2 a 6 A OCT 111 , 2 2.6 5
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