HomeMy Public PortalAbout4800TEMPLE CITY BLVD_Electrical (2) 70A653A*CEBOSA 4/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �Jl
BUILDING AND SAFETY DIVISION ADDRESS gv(/ E I
LOCALITYNEAREST
-
FOR APPLICANT TO FILL777 CROSS ST
OUTLETS RlCEPT MAIL a A
LIGHT_ TOTAL FIRST 20 ADDRESS JV
OVER 20 CITY TEL NO
SWITCH_ PLAN E
LIGHTING TOTAL FIRST 20 APPLIC T
FI%TURES
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
RANGE_DRYER_WTR HTR_ PERMIT
APPLICANT 41
STA COOK_DISP _F A U
SPACE HTR AIR COMO TEL NO 6F-x.26
CLOTHES WASH DISHWASH_ LICENSE NO/77-V> CLASS C
FAN-OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANC Et AND STATE LAWS REGULATING Cl
NO NEATER! ETC HP KW KVA ELECTRICAL WIRING
SIZE S TYPE OVER TO
1 HEREBY CERTIFY TN I AM PR OPfR Y AID Cd
Q - 1 LICENSED AS RC LOf KOLL I lLl
CALF FOR XIA OR X [ L OF N TO
1 - 10 RL BIDE IN H V D[SCRI[ED E DCN I 0 EATY
Z
10 — 5O SIGNATURE
OF PERMITTE
50 — 100
m aTRIcr RO ttAsa zone CESSE0 By
100 — 500 IV
SIGN GAS SIGN AND ONE CIRCUIT NOTES
TUBE OR
MARQUEE ADDITIONAL CIRCUITS
SERVICENOTOVER 600 VOLTS OR 200 AMP
SERVICE OV ER 600 VOLTS OR 200AMP APPROVALS DATE 0 ECTOIHB SISNATURE
TEMP POWER POLE 1
TEMPSERVICE POLE &APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH
5 5 5 DEC 1 2 0 1 9.5 0 AsIo