HomeMy Public PortalAbout4932TEMPLE CITY BLVD_Electrical (2) • � mom�% C'� T�
ITeAeeTCESOe 10-e3 APPLICATION_ FOR ELECTR1CAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING _
BUILDING AND SAFETY DIVISION ADDRESS s•
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN, sup T of F3UILDINO LOCALITY
NEAREST
Nmmmmro"APPUCA FILL IN I CROSS
R[carr TOTAL NO r[[
LIonT OUTLETS FIRST 20 O $20 • OWNER
AOO MAIL
[.ITCH ov[R 120 10 O ADDRESS
LIGHTING TOTAL_ •Isar 20 _ 20 — — CITY TCL NA —
FI%TURES" ) Aoo 10 ELECTRI AN
ov[R 20
RANGES CLO CW Y Wim MRS 100 ADDRESS �O 73
WIA OISP STA COO[ O.
CITY (.r TBL No s
DIeHWASH wvro WASH STATE
S►Ace HT11S STA AFP IK HP MA[I BO LICENSE NO
MOTORS, ov[R NOTOV[R HP DISTRI O GROUP �OfJ P ESSED Y
O 1 100 (�
• Zo V 1 n 1 BO INSP O RECORD L
a e 200 Q �l
8 1 B
280 ,� Y�
`l/ sib
1B Bo a o0
so 10o Boo Tiy,,
SIGNS. NO HUNS -
NO LAMPS
SERVICED SOOV NOT OVO1200A 100 - �j'✓,)
SERVICE O BODY Ov[R 200 A 200 001
SERVICE OVER SOOV BOO
MISC
I
PERMIT ISSUING FEE p 00 10
SUPPLEMENTARY PER ISSUING FCE 100
TOTAL FEE S
I H[IReY ACKNOWLEDGE THAT I HAW RUD THIS APPLICATION APRtWA GAT[ INpeRO e
AND STAT[ THAT TH ABOVE IS C HRCT AND AGAS TO COMPLY CONDUIT
'ITH ALL C MTY ORVIMANCES ANO STATE LAW[ WOULATINa
[LSCTRICAL WIRING WIRING
I HOIRBY C[ FY TNAT I AM PROPERLY R[OISIE ANO/OR
LIC[NQD AS REWJfCKD BY LOS ANGELES COUNTY AND STAT[ OF FIXTURES
G FOMM OR THAT I AM THE LEML OWN[R OF THE ASOVE
OESCWS[O R[SID[MTIAL PROP[RTY POWER
OF PERMITTE •SIGNATURE UTILITY CO NOTIPI6D
FINAL i
�pLI ARTHUR C VENT
MOO CAS CASN SUPERVISING ELECTRICAL ENGINEER
'" LG1 9 9 9M J&30 2 0 12.30— 4