HomeMy Public PortalAbout4349TEMPLE CITY BLVD_Electrical (2) 76A663 CES06 10,72 APPLICATION' FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES pBm7-3y"Jil/DEBUIILDIING AND SAFETY DIVSIONENT OF ER ADDRESS I-LOCALITYFOR APPLICANT TO FILL IN NEARESTCROSS ST OUTLETSEFIRST
NO A FE[ OWNER OR
S S FIRM NAE RECEPT MAIL ,LIGHT_ TOTAL 25 ADDRESS "/�SWITCHCITY— � TEL NO
10 A PLAN CHECK
LIGHTING t5 APPLICANT
TOTAL ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE_DRYER_WTR HTR_ APPLICANT T S
STA COOKDISP _F A U _ ADDRESS //,3/4< 6 ,GI 57
SPACE HTR AIR COND Clry TEL NO
CLOTHES WASH DISHWASH_ LICENSE OR
PEG NUMBER /- 4 CLASS C-/O6
FAN_OTHER IDO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WIT ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC NP NW MVA ELECTRICAL WIRING
SIZE B TYPE OVER TO
HEREBY CERTIFY TX ATI AM PROPERLY REGISTERED AND/OR
O — 1 IOD LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR T AM THE LEGAL OWNER OF THE ABOVE E
1 — 10 300 PESCPIFFD RES
MTI L PROPERTY
PERMITEE U
10 — 50 500 SIGNATURE �
O
50 - 100 1000 II......
DISTRICT NO PROCESSED BY W
100 - SOO 1500sa D z
,
SIGN GAS
TUBE OR SIGN AND ONE CIRCUIT 500 APPROVALS DATE UV'YECT sSIGNATURE
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICENOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK I
SERVICEOVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE 8 APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
` POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE ISUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300
TOTAL FEE
PLAN CHECK VALIDATION cR w o cA3n PERMIT VALIDATION CK
- w 0 `ASH '
4 4 4AAPR 9 g D SPD 0 A98
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE