HomeMy Public PortalAbout4935TEMPLE CITY BLVD_Electrical 74A&Se=S*67 SO APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADORERS 4935 Temple
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER City
CASSATT O GRIFFIN, SUPT OR BUILDING LOCALITY Tem p y
FOR APPLICANT TO FILL IN NEAREST Sparklet
T E w PIBIVIIT FEES CROSS ST.
NUMUKRI EACH r[[ OWNER 3. L. e p ey
OUTLETS
j { MAIL emp L y Q
LIGHTS R[CIR BW 10 ADDRESS
LIGHTING FIXTURES — f0 CI emp e O
[LEC RANG® CLO DRYERS ELECTRICIAN Ruebel Electric
w A T[ R N EATERS EO s50 ADDRESS 601 S• Palm 3A.
[LBC SPACE HTRS DISHWASHERS
GARBAGE DIBPoBERE AUTO CITY AIFem DrB• TEL NO ATE 3181
WASHERS BTA COOKING UNITE 2E
STATE 083 v 10
STATEICENSE NO
MOTORS OVER INC H P DI STR O GTPI ZONE PR ESSED BY
o— YA 2R
V.— 2 ao Rrol` 1'ION HF OHD
2— a too
a— is 150
ID— SO 250
Iso—too 500
SIGNS NO TRANS
NO LAMPS
SERVICE O DOOV 'lu amp too 1800
SERVICE OVER SOOV $00
MISC
WIRING PERMIT 100 1100
FIXTURE PERMIT 1 00
SUPPLEMENTARY PERMIT 60
TOTAL FEE $ 2. 50 AMOVAIS
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSr[CTOR B SIGNATURE
AND STAT[ THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING 6,-p /
I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR
LICENSED AS REOUIRED BY LOB ANGELES COUNTY AND STAT[ OF FIXTURES
CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PERfY POWER
SIGNATURE UTILITY CO NOTIFIED
OF PEANIgElFINAL
1S
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