HomeMy Public PortalAbout4343TEMPLE CITY BLVD_Electrical (2) ACME TEMPLE/ CITY Aec -75���]
76A683-CE ID,TZ APALICATION FOR ELECTRICAL PERMIT
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DEPARTMENT OF COUNTY ENGINEERfFIRMNAME
BUILDING AND SAFETY DIVISION S
ITYTEMPLE CITY CA 91780
FOR APPLICANT TO FILL IN NEAREST
ST LOWER- AZUSA
OUTLETS NO EACH FEOR
$ S ACME LUDLOW PACKAGING
RECEPT MAIL
SS SAME
LIGHT TOTAL FIRST 20 25
SWITCH OVER 20 CITY SAME TEL N0579-7800
10 ' �N I PLAN CHECK
LGHTING TOTAL 35
FIRST 20 ! APPLICANT '
I
FIXTURES OVER 20 IO ADDRESS
SAME
RESIDENTIAL APPLIANCES CITY TEL NO
RANGE_OflYER_WTR HTR PERMITAPPLICANT —
STA COOK DISP_F A U ADDRESS '
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH DISNWASH REG�NUMBER 58010050 CLASS MAIN
FAN_OTHER IN I HEREBI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATINGWITH ALL COUNTY ORDINANCE! AND STATE LAWS REGULATING
1Ko HEATERS ETC HP KW XVA ELECTRICAL WIRING
lIIE ! TYPE OVER TO
I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OW
D - I IDo LICENSED AS REOUIREO BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE
LEGAL OWNER OF THE ROVE
1 - 10 300 DESrNIFED RESIDE L PROPCRtY oo
10 - SO !00 PERM ITEE U
SIGNATURE C
So — 100 1000
DISTRICT NO PRO SSEO BY tAi
100 - 500 1500 (J U a
O
SIGN GAS SIGN AND ONE CIRCUIT • 5OD APPROVALe DATE IN.rec SIGNANIQ
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAS WORK
SERVI CEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT �O
TEMPSERVICE POLE &APPURTENANCES 500 WIRING d
TEMP LIGHT OR RECEPT SYSTEM ' 3 D FIXTURES
POWER AUTHORIZED '
UTILITY CO NOTIFIED
FINAL D-/
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300
TOTAL FEE
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION C■ M oCASH
— - — 9 7 4;d[R 13 2 0 1 33 O Aa.
SEE SACK OF APPLICATION FOR COMPLETE SCHEDULE
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