HomeMy Public PortalAbout4450TEMPLE CITY BLVD_Electrical (2) 7BA683-CE8 Oa 9-EAI' t
APPLICATION FOR ELECTRIC L PERMIT u
s COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER w
COLEMAN W JENNINS SUP T OF BUILDING LOCA, ITYFOR r
NEAREST
APPLICANT O N cRoee B7
RECEPT TOTAL , No EACH
20 RQ
OUT s FIRST 20 0 20 8 OWNER `e
LIGHT MAIL
SWITCH ADD'L ADDRESS G e
OVER 20 10
TOTAL a CITY L NO
LIGHTING 1 P1RaT 20 20
FIXTURES I III _ ADD'L 10 ELECTRI IAN
Ov R 20
RANGES CLO ORYERE 'V HTR) 100 ADDRESS
OA10 DIV OTA COOK
CITY TEL NO
DISHWASH AUTO WASH STATE
VACS HTp STA APP (5y H P MA][ 1 SO LICENSE NO
MOTORS ovES NOT ov[R HP DISTRICT G P Z P B
O 1 100
1 a 1 sO INSPC{TION R RD
S S 200Y
Cry O
B — 16 250 V
16 — eo 300 /
60 — loo 500
SIGNS, NO TRANS
NO LAMPS
N
Z
V
OT OVER 200A 100
VO1200 A 200
0Y 600
FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE f00
TOTAL FEE E
1 HEREBY ACKNOWLEDGE THAT I HAW RtAD THIS APPLICATION DATE IMV�EIOMATUIR
AND STATE THAT THE ASOV[ IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCLS AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I MEREST CERT FY THAT I AM PROPERLY REGISTERED AND/OR FIXT`UREE
ucmlED Aa ReQ.,.90 BY LOS ANG[L9S COU H ANG aTATE oP
CALIFORNIA OR THAT M TNQ LIGAL OO !R ANO NTEND TO ziL
RESIDE IN THE AED uc Eo R iG uL Pe POWER
Ur v
GIGNATU RE UTILITY CO NOTIFIED
OF RE 177E /
FINAL
VALIDAT19A1�1 JOSEPH C ROOHA
tlC BIOID CADN JOSEPH
C OOH trRICAL ENGINEER
LACO2 9 8 6:0 JUN23 2 D 3.60-
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