HomeMy Public PortalAbout4851TEMPLE CITY BLVD_Electrical (2) +7BA603 CEBUB 11/74 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
COLEMAN W JENKINSSUPERINTENDNT OR UIL ING LOCALE
NEAREST
FOR APPLICANT TO FILL IN CROS. ST
OUTLETS FEE
OWNE
RECEPT_ $ $ MAIL
LIGHT_ TOTAL
FIRST 20 y. ADORE55
OVER 20 CITY TEL Q
SWITCH— 10 PLANCHECK
LIGHTOTAL
TING FIRST 20 25 APPLICANT
FIXTURES 10 .
OVER 20 ADDRESS
APPLIANCES CITY TEL NO
PERMIT
RANGE_DRYER_WTR HTR_ APPLICANT
STA COOKDISP _F A U _ AODRE55
SPACE HTR AIR GOND CIT TEL NO
CLOTHES WASH DISHWASH LICENSE NO CLASS
FAN-OTHER 100 / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
.MOTORS TRANSFORMER! RATERS WITH ALL COUNTY ORDINAHC ES AND STATE LAW! REGULATING
IND HEATERS ETC HR KW KVA ELECTRICAL WIRING
SIZE 6 TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 IGO LICENSED AS REQUIRED BY LO! ANGELES COUNTY AND STATE OF
CALIFORNIA ON THAT I AM THE LEGAL OWNER OF A INTEND TO }
1 - 10 300 RESIDE IN THE ABOVE DESCRIBED RESIOENTI PROPERTY d
O
10 - 50 !00 SIGNATURE V
OF PERMITTEE
50 - 100 IoW O
01l TRI CT NO CLASS ZONE PROCESSED BY
100 - 500 1000 Q
a
SIGN GAS SIGN AND ONE CIRCUIT SWYNOTES4..- z
TUBE OR ?
MARQUEE ADDITIONAL CIRCUITS I00
SERVE CE NOT OVER 600 VOLTS OR 200 AMP 300
PROVAL! DATE INSPECTOMs SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AMP tOW / /
OWER POLE
TEMP SERVICE POLE h APPURTENANCES 500
LAB WORK A
TEMP LIGHT OR RECEPT SYSTEM 3 W
CONDIUT
FIXTURES /^
AUTHORIZED �PERMIT FEE (SUB TOTALI CO NOTIFIEDPLAN CHECK FEEPERMIT ISSUING FEE 3W
JOSEPH C ROONAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M D CASH PERMIT VALID-AN' CK M Q CASH
3 6 5r-S OCT 2 Q 2_ p 4,90-
I - -
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 3