HomeMy Public PortalAbout4349TEMPLE CITY BLVD_Electrical °^663 CE806 10„E APPLICATIONF ELECCO
TRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER AJOB REss /7y- V
BUILDING AND SAFETY DIVISION
LOCALITY � J'
NEAREST
FOR APPLICANT TO FILL IN CROSS ST (/
OUTLETS NO EALHI OWNER OR
FIRM NAM s
RECEPTI 3 S MAIL
LIGHT_ TOT
FIRST 20 u �O ADDRESS
OVER ZO CITY /B, C/r EL NO
SWITCH_ 10 PLAN CH CK
LHTING
FIRST 20 APPLICANT
IGTURES i TOTAL 10
FIX
I( OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE_DRYERWTR HTR_ APPLICANT 9,APPLICATION
STA COOKDISP_F A U _ ADDRESS SPACE HTR AIR GOND CITY TEL NO CLOTHES WASH OISXWASH REG NUMBER / CLAFAN_OTHER 100 1 HEREBY ACKNOWLEDGE THAT, I HAVE READ THIPANO STATE THAT THE ABOVE Ip CORRECT AND AGREMOTOpfTRANSFORMERS RATING WITHALL COUNTY ORDINANCES AND STAT! LAWS
IND HEATER! ETC HF KW KYA ELECTRICAL WIRING
DIEL B TYRE OVER TO
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTCRCD AND/OR
OF
D - 1 100 LICENSEDAll REQUIRED BY LOS ANGELS! COUNTY AND {TAIL OF y
CALIFORED OR IDEM AM THE
LEO AL OWNER OF THE ABOVE CD
1 - ID 300 GESCP RFD RESIDENTIAL PROPERTY p
C7
PTEE
10 — 50 500 SIGNATURE O
H
50 — 100 1000 DISTRICT NO P OCES ED BY W
100 — 500 1500
K O y( ♦ z
SIGN GAS SIGN AND ONE CIRCUIT S00 A
PPROVALS C/ OR TE II1O[CTM gw.TURE
TUBE, OR ER POLE
MARQUEE ADDITIONAL CIRCUITS 100
SERVICE NOTOVER 600 VOLTS OR 200AMP 300 B WORK
SERVICEOVER 600 VOLTS OR 200AMP 1°00 DUIT
TEMPSERVICE POLE &APPURTENANCES 500
TEMP LIGHT OR RECEPT SYSTEM 3 G THORIZED
O NOTIFIED
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 (�
TOTAL FEE ID
PLAN CHECK VALIDATION C[ M D CASH PERMIT ALI ATION CK MEG CAlH
550AAPR 1 —(t12/ B — 55.00A!Jd
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE J