HomeMy Public PortalAbout4918TEMPLE CITY BLVD_Electrical (2) TSASSI=UR'10 111 APPLICATION FOR ELECTRIC L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER rADW=BUILDING AND SAFETY DIVISION9 Gt ! tJ
JOHN A LAMBIE. COUNTY ENGINEER /'�WIWAM A JENSEN,Bur r of @UILDIMO OCALITY /Gb l
APPLICANT NEAREST
EOR F CROSS ST
1 T E Y NO "CHI 'EE
OUTLHTBi 1111 EO) E0 / 1 D OWNER E O
UGHn RICYT EW RAIL
uOHT i (ADD L UMTTe) ADDRESS
UGHn RECYT SW 10
LIGHTING FIXTURES, (FIRST 40) / _ EO O CT' TEL NO
LIGHTING FIXTURES, (A=ff10 AL) 10 ELECTRICIAN CS l 1'L.
RANGU CLO ORYOiS WTR HTRS TOO ADDRESS/LC 0/ 1... .,#L)eC4)
OARS DIY STA COOS CITY O 'S TEL NO
DISHWASH AUTO WASH STATE
YACI HTIII STA APP (v.HP MAX > So LICENSE NO OU
MOTORSi Ov:R NOTOVER Hr DISTPJ G Z N P 3 B
0 1 100
1 — a too INSPECTION RECORD
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a e zooG'v a0
a is Sao A!/ �_ _u
to eo 300 4:> O
Eo — 100 Soo /A� e� Ntw ✓ �/ ^ ''
81GNB1 NO TRANX
No vl 0r1/r / ✓I •L l�Ye,-
SERVICE 0
SERVICE0 SOOV NOT OVM EOOA 100
SERVICE GOOV OVER2O0A 200 Yl'1
SERVICE OVER Soot/ a 00
MISC
r 1 /t�N
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE loo
TOTAL FEE 3
I N6 Y ACRNOWL[DG[ THAT 1 HAVR RRAO YHIS APPLICATION PR ALS DATt IMY OTOR
ANO STATE THAT TME AROV IS COI = AND AONIX TO COMPLY CONDUIT
WITH ALL COUNTY OROINANC[! A" f A" NWS =GULATINO
K"CTRICAL WIRING WIRING
I HKRMy =RTIFT THAT 1 AY rROrSRLY RIEGIfIOKO AND/OR
UCKN® AS MQUIRED GY LOS ANGZUTA COUNTY AND STAT[ OF FIXTURES
CALIFORNIA OR I=T I AM THE LEGAL 0"" OF THE AIND E
DESCRIWO M5101INTIAL PROPS POWER
SIGNATUREUTILITY CO NOTIFIED
OF PERMITTE
FINAL �
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LIDATION ARTHUR C VEIT
IX No CASH SUPERVISING ELECTRICAL ENGINEER
( �1 9 1 7 a '.Y 1 2 D 380
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