HomeMy Public PortalAbout4520TEMPLE CITY BLVD_Electrical (2) - APPLICATION FOR ELECTRICAL PERMIT
T6AO63-C Moa 10/72
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY R C
NEAREST
FOR APPLICANT TO FILL IN CROSS ST a w
OUTLETS PEE OWNER OR
$ $
FIRM NAME 1WR t4
N-. [�
RECEPT_ ADDRESS V 1,
MAIL
LIGHT_ TOTAL FIRST 20 26
OVER 20 CI TV TEL NO
SWITCH_ f0 PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIX10
OVER 20 ADDRESS
TURES
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT DA,SFes+ 0
RANGE_DRV ER_WTR HTR_ APPLICANT'? /�� . /T I2po
STA COOK_DISP_F A U _ ADDRESS 33 IV• GI If4-1RL- 151-7
SPACE HTR -A]R GOND CITY O,S /f r}� TEL NO 47 -11
CLOTHES WASH DISHWASH_ REGENUMBER b CLASS C-10
FAN_OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AMD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTOR 3 TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC NP XW KVA E LECTRICAL WIRING
SIIE B TYPE OVER TO
O HEREBY CERTIFY REQUIR TXY I AM PROPERLY REGISTERED AHD/OR
0 _ 1 100 LICENSED AS REQUIRED I BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIADOR THAI AM THE LEGAL OWNER OP THE AgQV[ y
I - 10 300 DESCRIPED RE PROPERTY O
PERMITE G.7
10 - $0 500 SIGNATU -- —
--
SO - 100 1000 DISTRI�/T�NO P OCESSED Y CZ)
100 - S00 1500 �J• o�
Z
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DAT[ INSPECTOR'S SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS IOD TEMP POWER POLE
SERVICENOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAS WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT
TEMPSERVICE,POLE &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL C
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300
TOTAL FEE �Q
PLAN CHECK VALIDATION CR M O CASH PERMIT VALIDATION cK M 0 CAS
qr, 3 2 2 473 SEP 1. 7 2 D 4.00A v
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE