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HomeMy Public PortalAbout4335TEMPLE CITY BLVD_Electrical (2) 7BA553-CES05 4{68 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE 0OUNTY ENGINIER T COLEMAN W JENKINS, SUFI INTINGINT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS STL i'O/ RECEPT_ 5 OWNER ♦. 4 MAIL LIGHT_ TOTAL FIRST 20T20 AODR ESS SWITCH__ OVER 20 CITU TEL NO PLAN CHECK JLIGHTING TOTAL FIRST 20 APPLICANT FI%TURES OVER 20 ADDRESS RANGE_DRYER_WTR HTR CITY TEL NO STA COOK_DISP _F A U _ CONTRAC rO SPACE HTR _AIR COND _ ADDRESS 3 c I. CLOTHES WASH _DISHWASH CITY 1 TEL N 04 FAN—OTHER 1 00 LICENSE NO Z7'70,PCLASS MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE IN TYPE OVER TO AMO STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND !TATE LAW! REGULATING 17 1 D - I I DO ELECTRICAL WIRING .. I HERESY CERTIFY THAT I AM PROPERLY REGISTERED ANO/ON /L - 10 3 00 0 0 LICENSED A5 REQUIRED BY LO! ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO - SD 5 DD O O RESIDE IM THE ApOV D[f CRIFED RESIDENTIAL PROPERTY O U 1.1 SIGNATURE YV - 100 10 00 OF PERMITTEE CD 100 - Soo ` I5 DO ~ DIST T NO GROUP Z NE PROCESSED BY w SIGN GAS TUBE OR 51 GN AND ONE CIRCUIT J 00 •0 -L C¢ /M a�C N Z_ MARQUEE [ADDITIONAL TIONAL CIRCUITS 100 NOTES !EMI CE NOT OVER GOO VOLTS OR 200 AMP 2 00 SERVICE OVER S00 VOLTS OR 200 AMP 600 TEMP SERVICE POLE B APPURTENANCES 9 00 APPROVALS OAT! Dip PECTORb SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTALI WIRING FIXTURES' PLAN CHECK FEE (SO% PERMIT FEE) ^ POWER AUTHORIZED PERMIT ISSUING FEE 2100 V VL D UTILITY CO NOTIFIED ' 1 4---. SUPPLEMENTARY PERMIT ISSUING FEE 100 FINAL TOTAL FEE 10 ,00 JOSEPH C ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATIO CK M o CASH Ms 0 0 4IFZ +14 2 0 1 0.00 IEE MACK OF APPLICATION FOR COMPLETE FEE SCHEDULE