HomeMy Public PortalAbout4420TEMPLE CITY BLVD_Electrical TEASSt 11-,,.STAPPLICATION FOR ELECTRIC PERMIT 11
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGMEEH BUILDING
BUILDING AND SAFETY DIVWON ADORE59
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GSBAlT A (al�PIIf. 8�l of oHdhp LOCALITY (r's-M^Za-aG
NEAFLIGI
OR APPLICANT TO FILL IN GRORE� t
PERMT FEES
I T¢M NUMSER EACH PER OWNER
q MAIL
R¢Ctrt EW � f ,O f V ADDRESS
IXTURES f0
CITY TEL NO 3917
S CLO DRYERS ELECTRICIAN
ER HEATER• SO ADDRESS
HTRS DIEHWAIHERSPOSERS ADT0- CITY TEL NO
STA COOKING UNITS 25 STATE
LICENSE NO
MOTORS OVER INC Hp
0— K 25 wuoY sow INotcrloN
Ye — 2 < 50 A- 1
INSPECTION RECORD
2 — D 100
5 — 15 ,Bo
IS — 80 2150
80— 200 1500
SIGNS NO TRANS
NO LAMPS
SERVICE O-000V too _
SERVICE OVER GOOV 500
MISC.
WIRING PERMIT 100
F 100
SU MENTARYJ16MIT 50
L FEE APPROVPJS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR SSIGNATURE
AND STATE THAT THE "DYE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE UTILITYCO NOTIFIED
OP PHRM FIN / 7
VMMA ARTH U R C YEIT
'CR YO UEH SUPERVISING ELECTRICAL ENGINEER
LACo638061 MOY 5 2 A 1 .00